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Cureus
December 2024
Department of Upper Gastrointestinal and Hepatobiliary Surgery, Monash Health, Melbourne, AUS.
Atraumatic splenic rupture (ASR) is a rare and life-threatening condition that presents diagnostic difficulties due to its rarity and non-specific clinical symptoms. It often requires computed tomography (CT) imaging for accurate diagnosis and surgical planning. Splenectomy is the standard treatment for unstable patients, but autotransplantation of splenic tissue may reduce the lifelong risks of overwhelming post-splenectomy infections (OPSI) by preserving some immunological function.
View Article and Find Full Text PDFRespirol Case Rep
November 2024
Respiratory and Sleep Medicine South Western Sydney Local Health District Sydney New South Wales Australia.
Thoracic splenosis is a rare condition referring to the auto-transplantation of splenic tissue into the thoracic cavity following splenic trauma. We present a case of thoracic splenosis in a 62-year-old man who at the age of 17 suffered three gunshot wounds to the posterior thorax and abdomen, requiring a splenectomy and intercostal catheter insertion. In 2007, he underwent a thoracotomy and biopsy of a left sided pulmonary mass which was complicated by a haemothorax requiring an emergent return to theatre and rib resection to achieve haemostasis.
View Article and Find Full Text PDFInt J Surg Case Rep
December 2024
College of Surgeons of East, Central, and Southern Africa, 157 Olorien, Njiro Road ECSA-HC, P.O.Box 1009, Arusha, Tanzania.
Background: Wandering spleen or hypermobile spleen results from the elongation or maldevelopment of the spleen's suspensory ligaments. Few cases have been reported worldwide, making it a rare clinical entity. It usually affects children, although it also commonly affects female adults in the reproductive age range.
View Article and Find Full Text PDFACG Case Rep J
September 2024
Division of Gastroenterology, Hepatology, and Nutrition, University of Utah, Salt Lake City, UT.
Intra-abdominal splenosis is a rare finding which most commonly occurs following traumatic splenectomy. We present a case report of a patient who presented with abdominal pain in which peripancreatic and intrapancreatic lesions were found in the setting of mediastinal lymphadenopathy. Owing to concerns for pancreatic malignancy, we explored these lesions using endoscopic ultrasound with fine-needle biopsy (with rapid on-site evaluation).
View Article and Find Full Text PDFClin Rheumatol
October 2024
Department of Medicine, Division of Rheumatology, Queen's University, Kingston, ON, Canada.
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