Acute splenic torsion in children: which is the best treatment? A case report
| Autor: | G. Cecchetto, P. Dall’Igna, C. Dalle Nogare, P. Gasparella, G.F. Zanon |
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| Jazyk: | English<br />Italian |
| Rok vydání: | 2012 |
| Předmět: | |
| Zdroj: | La Pediatria Medica e Chirurgica, Vol 34, Iss 3 (2012) |
| Druh dokumentu: | article |
| ISSN: | 0391-5387 2420-7748 |
| DOI: | 10.4081/pmc.2012.81 |
| Popis: | Wandering spleen is a clinical entity which rarely affects children and adolescents. this condition can be asymptomatic or responsible of chronic pain, but it appears as a surgical emergency when an acute twisting occurs. the risk of post-splenectomy sepsis in the pediatric population suggests a conservative approach whenever possible, and also in case of acute torsion, most authors prefer to preserve the spleen and perform a splenopexy. the Authors describe a case of a child with acute splenic torsion, in whom a conservative surgical approach was initially adopted. the conservative option has to be balanced with the risk of prolonged thrombocytopenia, multiple transfusions and a possible second procedure to remove the spleen. |
| Databáze: | Directory of Open Access Journals |
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