[Castleman's angiofollicular lymphoma as a cause of anemia and splenomegaly with indications for splenectomy].
The physiology of the spleen is very complex and has a series of factors, which request a more detailed explanation. With different blood diseases, namely, the reticulo endothelium system the spleen more or less, plays the central part in the general pathological events. Indication for splenectomy requests many internal, haemotologic, immunologic examinations and a close cooperation with the surgeon. The failure of a performed splenectomy is seldom related, directly to the surgical techniques, more frequent with a bad ante operationem assessment, namely predictable assessory spleen, which continues to play the splenogenous disfunction. Such a "clinical misunderstanding" we had in the case presented in the paper. We spoke of our experiences with a patient who suffered from anaemia and an enormous enlargement of the spleen. After the splenectomy anaemia, unfortunately, was persistent. During the operation we found a tomefact (as big as a nut) located on the right side, paravertebral in peritoneum. The probatory cutting off was sent to the pathologist, we asked for a verification. We were warned by the pathologist to extract in toto. Only in that way the mentioned symptoms might disappear, the existing anaemia, too.
Drino
E
E
Klinika za abdominalnu hirurgiju, Klinicki centar Sarajevo.
Radnić
D
D
Ibrahimović
E
E
Kapisazović
S
S
Kotjeljnikov
B
B
Aksamija
G
G
D000328:Adult; D000740:Anemia / Q000209:etiology*; D005871:Castleman Disease / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D013156:Splenectomy; D013163:Splenomegaly / Q000209:etiology* / Q000601:surgery
Castlemanov angiofolicularni limfom kao uzrok anemije i posljedicne splenomegalije s indikacijom za splenektomiju.