Salmonella sepsis following posttraumatic splenectomy and implantation of autologous splenic tissue.
A severe complication following implantation of autologous splenic tissue occurred in a 51-year-old man. Indirect injury to abdomen resulted in a lesion of the splenic artery. Following splenectomy and reimplantation of splenic tissue into three pouches, a severe Salmonella sepsis developed within 24 hours. At second look laparotomy two pouches were infected. Recently there had been moderate signs of gastroenteritis and the same bacteria was cultivated from feces. Modifications of the implantation procedure are discussed.
D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation; D012480:Salmonella Infections / Q000209:etiology* / Q000628:therapy; D018805:Sepsis / Q000209:etiology* / Q000628:therapy; D013154:Spleen / Q000637:transplantation*; D013156:Splenectomy / Q000009:adverse effects*; D013157:Splenic Artery / Q000293:injuries; D014182:Transplantation, Autologous / Q000009:adverse effects*