Traumatic splenectomy in a cirrhotic patient with hepatitis C and alcoholic liver disease
Autor: | Olu Oluwajobi, Rudi Borgstein, Hosam E. Matar, Ashraf S Elmetwally, Manojkumar S Nair |
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Jazyk: | angličtina |
Rok vydání: | 2012 |
Předmět: |
Liver Cirrhosis
Male Alcoholic liver disease medicine.medical_specialty Resuscitation Cirrhosis medicine.medical_treatment Splenectomy Wounds Nonpenetrating Gastroenterology Article Diagnosis Differential Liver disease Internal medicine medicine Humans Liver Diseases Alcoholic Laparotomy business.industry General Medicine Hepatitis C Splenic Rupture Hepatitis C Chronic Middle Aged medicine.disease Surgery Abdominal trauma Portal hypertension business Tomography X-Ray Computed Spleen |
Popis: | Non-operative management is the management of choice for haemodynamically stable patients with blunt splenic injury. However, coexistent liver cirrhosis poses significant challenges as it leads to portal hypertension and coagulopathy. A 52-year-old man sustained blunt abdominal trauma causing low-grade splenic injury. However, he was found to have liver cirrhosis causing haemodynamic instability requiring emergency laparotomy. His portal hypertension led to severe bleeding only controlled by aortic pressure and subsequent splenectomy. Mortality from emergency surgery in cirrhotic patients is extremely high. Despite aggressive resuscitation, they may soon become haemodynamically unstable. Therefore, traumatic splenectomy may be inevitable in such patients with portal hypertension and splenomegaly secondary to liver cirrhosis even in low-grade injury. |
Databáze: | OpenAIRE |
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