[Accessory spleen: compensating hypertrophy after of splenectomy. A case report].
The prevalence of accessory spleens has been reported to be about 7.1% in infants. When these patients undergo splenectomy without removal of the accessory spleen, the latter develop hypertrophy later in life and can reach the size of a normal spleen, with clinical manifestations similar to the ones before surgery. We report the case, of fourteen-old boy, who had splenectomy 7 year ago, for refractory and recurrent thrombocytopenia, who had splenectomy at age 7 years because of persistent thrombocytopaenia, resistant to non-surgical treatment, and who was found by conventional ultrasound study, doppler duplex color and selective angiography to have a hypertrophied spleen with sings of portal thrombosis and portal hypertension.
Rivero
E
E
Unidad de Diagnóstico Cardiovascular, Abdominal y Respiratorio. Clínica Lugo, Hospital Universitario de Caracas.
Monari
J
J
Marquez
D
D
Tombazzi
C
C
D000293:Adolescent; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology; D006984:Hypertrophy / Q000209:etiology; D008297:Male; D013154:Spleen / Q000002:abnormalities* / Q000473:pathology* / Q000601:surgery; D013156:Splenectomy / Q000009:adverse effects*
Bazo accesorio: hipertrofia compensadora post esplenectomía. Presentación de un caso.