Splenic infarction following laparoscopic Nissen fundoplication: management strategies.
Techniques for mobilizing the greater curve of the stomach during laparoscopic Nissen fundoplication (LNF) include division of the short gastric vessels (SGV). The splenic artery and vein lie directly posterior to the proper plane of dissection. Uncontrolled bleeding during SGV division places the splenic vessels at risk for inadvertent injury or ligation. We report herein on 2 patients referred to our institution who had left upper quadrant pain and radiographic evidence of segmental splenic infarction (SI) that resulted from a peripheral splenic artery branch injury during LNF. Management strategies included a trial of conservative management and splenectomy for persistent symptoms or complications resulting from SI. Intense inflammation and adhesion formation making laparoscopic splenectomy difficult should be anticipated when operating on the infarcted spleen.
Wilkinson
Neal W
NW
Department of Surgery, Eisenhower Army Medical Center, Fort Gordon, Georgia, USA. Neal-Wilkinson@uiowa.edu
Edwards
Kurt
K
Adams
Eric D
ED
D018784:Abdominal Abscess / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D000328:Adult; D005260:Female; D018662:Fundoplication / Q000009:adverse effects*; D005764:Gastroesophageal Reflux / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008026:Ligation / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D013156:Splenectomy / Q000379:methods; D013157:Splenic Artery / Q000293:injuries; D013159:Splenic Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome