Publications by authors named "Liepi'nsh M"
Article Synopsis
- Posttraumatic conditions affecting the spleen were identified in 33 patients with splenolithiasis, along with several other issues in smaller groups, including hematoma and splenosis.
- Diagnosis relies on patient history and various imaging techniques like ultrasounds, CT scans, scintigraphy, laparoscopy, and angiography.
- Severe splenomegaly and hypersplenism may require surgery, with splenectomy being the preferred approach; further research on less invasive treatments is still needed.
Splenectomy still remains the method of choice in treatment of patients with hairy cell leukemia (HCL) due to high efficiency and low percentage of complications. Five-year survival of patients with HCL after splenectomy was 74%. Because of the low percent of hairy cells in the patient's blood the diagnosis of HCL should widely include trephine biopsy of the bone marrow as well as immunological studies of the leukemic cells.
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- Eight patients with spleen abscesses were studied, showing no unique clinical features.
- Conventional signs like splenomegaly are not reliable indicators of spleen abscesses.
- Ultrasound and CT scans were key diagnostic tools, and prompt treatment, especially splenectomy, led to good outcomes.