Cases reported "Splenic Diseases"

Filter by keywords:



Filtering documents. Please wait...

1/103. Spontaneous rupture of splenic hamartoma: a case report.

    Splenic hamartomas are rare. The authors report a case of spontaneously ruptured splenic hamartoma in a 5-month-old boy. This rupture led to the death of the child. If abdominal pain is present and a mass is palpated, the splenic hamartoma should be managed surgically in an expeditious manner. There have been only two known previous reports of spontaneous rupture of splenic hamartoma in adults, but none in children.
- - - - - - - - - -
ranking = 1
keywords = abdominal pain
(Clic here for more details about this article)

2/103. cat-scratch disease simulating a malignant process of the chest wall.

    cat-scratch disease is a well-known cause of regional adenopathy in immunocompetent children. Rarely, patients may present with symptoms simulating a neoplastic disease. The case of a 12-year-old boy with fever, swelling of the chest wall and hepatosplenic nodules is reported. Histological analysis of biopsy specimen obtained from the chest wall lesion and the liver revealed granulomatous reaction without malignant cells. Serological investigations were positive for Bartonella species. The symptoms and the lesions disappeared after oral antibiotic therapy (ciprofloxacin) was started. The patient remained symptom-free 12 months later. CONCLUSION: The present case emphasizes the wide spectrum of clinical manifestations associated with cat-scratch disease which should be investigated as differential diagnosis of manifestations suggesting a neoplastic disease in children.
- - - - - - - - - -
ranking = 0.030428606670862
keywords = chest
(Clic here for more details about this article)

3/103. Rupture of the spleen associated with enterobacter cloacae.

    A 58-year-old male, with abdominal pain but no signs of sepsis, was admitted as a medical emergency. During hospitalization, spontaneous splenic rupture was diagnosed and splenectomy successfully performed. A smear revealed presence of enterobacter cloacae on the splenic surface; histopathology demonstrated granulocytous infiltration of the spleen.
- - - - - - - - - -
ranking = 1
keywords = abdominal pain
(Clic here for more details about this article)

4/103. Congenital splenic cyst--a report of two cases.

    We report on two girls with large epidermoid splenic cysts. They presented with abdominal pain, fever, and non-bilious vomiting. In both cases the cyst was diagnosed by means of computer tomography and ultrasonography. One of the patients was successfully treated with partial splenectomy. In the other case percutaneous drainage was initially carried out, but this treatment was insufficient. splenectomy was then performed.
- - - - - - - - - -
ranking = 1
keywords = abdominal pain
(Clic here for more details about this article)

5/103. Symptomatic wandering accessory spleen in the pelvis: sonographic findings.

    We describe the case of a mobile left lower quadrant mass associated with recurrent abdominal pain; at surgical exploration, the mass was found to be an accessory pelvic spleen. Although accessory spleens are present in 10-30% of individuals, a wandering accessory spleen located in the pelvis is not frequently seen. On sonography, the mass in our patient appeared well-defined and homogeneous. Spectral analysis and color Doppler imaging demonstrated a normal vascular branching pattern and high diastolic flow due to low resistance in the vascular bed. The parenchymal resistance index of the mass was similar to that of the native spleen.
- - - - - - - - - -
ranking = 1
keywords = abdominal pain
(Clic here for more details about this article)

6/103. Traumatic pseudocyst of the spleen.

    Four patients with pseudocyst of the spleen gave histories of abdominal trauma. In one patient the pseudocyst had ruptured, necessitating emergency splenectomy 34 years after the original injury. In a second patient the pseudocyst was discovered incidentally, and was managed by spleen-preserving excision; and the third and fourth presented with abdominal pain and had splenectomy and spleen-preserving surgery, respectively. All patients with conservatively treated splenic injury are at risk of developing a pseudocyst of the spleen, and the lesion can be detected by computed tomography or ultrasound. When there are no symptoms the natural history is unknown; but if surgery is necessary, splenectomy can sometimes be avoided.
- - - - - - - - - -
ranking = 1
keywords = abdominal pain
(Clic here for more details about this article)

7/103. Visceral manifestation of cat scratch disease in children. A consequence of altered immunological state?

    A 12-year-old girl with a 2-month history of fever and abdominal pain was admitted to our hospital. Ultrasound and CT scans of the abdomen showed multiple hypoechoic lesions of liver and spleen. Screening for zoonosis revealed high positive titers to bartonella henselae. T-cell deficiency was demonstrated and remained almost unchanged during a follow-up of 11 months. A review of the literature shows that disseminated visceral affection is a rare presentation of cat scratch disease (CSD) in childhood and adolescence. Further immunological investigations are needed in more patients with CSD to confirm whether an altered immunological state may be responsible for the atypical visceral manifestation of CSD.
- - - - - - - - - -
ranking = 1
keywords = abdominal pain
(Clic here for more details about this article)

8/103. melioidosis splenic abscess--an unusual presentation as osteomyelitis of rib.

    INTRODUCTION: We report an unusual case of splenic melioidosis abscess presenting as osteomyelitis. CLINICAL PICTURE: A 74-year-old nondiabetic gentleman presents with a non-healing left chest wall abscess from osteomyelitis. TREATMENT: He underwent rib resection and the infection was found to involve the underlying pleura, lung, adjacent stomach, liver and diaphragm with a splenic abscess. splenectomy was performed. histology showed suppurative granulomas and cultures grew burkholderia pseudomallei. OUTCOME: The patient recovered well with antibiotics. CONCLUSION: melioidosis should not be forgotten as a cause of chronic suppurative infections in our endemic population.
- - - - - - - - - -
ranking = 0.0050714344451436
keywords = chest
(Clic here for more details about this article)

9/103. Accessory spleen torsion: US, CT and MR findings.

    Torsion of an accessory spleen is a very unusual entity that can appear with abdominal pain associated with the presence of an avascular mass. We report the case of a 13-year-old boy with torsion and infarction of an accessory spleen presenting as a painful abdominal mass in which imaging examination with US, CT and MR showed a large avascular mass in the upper left abdomen.
- - - - - - - - - -
ranking = 1
keywords = abdominal pain
(Clic here for more details about this article)

10/103. Laparoscopic splenopexy by peritoneal and omental pouch construction for intermittent splenic torsion ("wandering spleen").

    wandering spleen is an extremely rare anatomic variant with potentially serious clinical implications. Usually, splenectomy is advocated for treatment of this disease. Various methods for preserving the wandering spleen by means of splenopexy have been described, including two reports on laparoscopic splenic refixation. We describe the third case in which laparoscopic splenopexy was used to manage chronic intermittent splenic torsion. In a 25-year-old woman, splenopexy was successfully performed by laparoscopic reposition and fixation of the spleen by omental pouch creation. At laparoscopy with a normal operating room setup and four trocars, a free-floating, macroscopically normal spleen attached to an abnormally long vascular pedicle with no gastrosplenic or phrenicosplenic ligaments was detected in the lower right quadrant. The spleen was repositioned and placed in the left phrenorenal angle. Splenopexy was achieved by suturing the left colophrenic ligament to the lateral diaphragm, thus creating a pouch for the inferior part of the spleen, and by suturing the gastrocolic ligament to the anterior diaphragm to create a pouch for the upper splenic pole. The postoperative course was uneventful. At a follow-up examination 3 months after the operation, the patient was well, with no further episode of recurrent abdominal pain. Ultrasonographically, the spleen was seen easily in the left hypochondrium in its normal physiologic position. Laparoscopic splenopexy is a useful option for organ-preserving therapy of the wandering spleen.
- - - - - - - - - -
ranking = 1
keywords = abdominal pain
(Clic here for more details about this article)
| Next ->


Leave a message about 'Splenic Diseases'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.