[Fatal infection after splenectomy despite reimplantation of splenic tissue].
A fatal case of a postsplenectomy sepsis is presented which occurred in a 5-year-old boy 11 month following splenectomy due to trauma and reimplantation of splenic tissue. The patient died 4 h after admission to the hospital. The post mortem revealed an encephalitis and a sepsis although splenic regenerates were found in the omentum pouch. Our report increases the number of cases described to date in the literature to a total of 18. Autologous reimplantation of splenic tissue does not offer complete protection against over-whelming infection.
Michalski
S
S
Klinik und Poliklinik für Allgemeinchirurgie, Universität Göttingen.
Blankenhorn
P
P
Lepsien
G
G
Lüdtke
F E
FE
D001921:Brain / Q000473:pathology; D002675:Child, Preschool; D004660:Encephalitis / Q000473:pathology*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000473:pathology*; D011650:Pulmonary Alveoli / Q000473:pathology; D012038:Regeneration / Q000502:physiology; D012772:Shock, Septic / Q000473:pathology*; D013154:Spleen / Q000637:transplantation*; D013156:Splenectomy; D013161:Splenic Rupture / Q000473:pathology / Q000601:surgery*; D016042:Transplantation, Heterotopic / Q000473:pathology*
Letale Sepsis nach Splenektomie trotz Reimplantation von Milzgewebe.