Delayed presentation of splenic laceration due to remote trauma in laparoscopic surgery.
Splenic laceration is a recognized complication of both open and laparoscopic renal and adrenal surgery. Most injuries reported occur intraoperatively via the transperitoneal approach and require immediate management. Herein we report a patient with a delayed presentation of splenic laceration 17 days after undergoing retroperitoneal hand-assisted laparoscopic nephroureterectomy. Emergent splenectomy was performed and the postoperative course was uneventful. To our knowledge, there has not been a similar case reported before. Because laparoscopic renal surgery is becoming the gold standard of treatment, urologists must be aware of the possibility of splenic laceration during this type of surgery.
Lai
Ming-Chih
MC
Department of Urology, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.
Chang
Shang-Jen
SJ
Chiang
I-Ni
IN
Huang
Chao-Yuan
CY
D000368:Aged; D006801:Humans; D022125:Lacerations / Q000209:etiology*; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D009392:Nephrectomy / Q000009:adverse effects*; D012187:Retroperitoneal Space / Q000601:surgery; D013154:Spleen / Q000293:injuries* / Q000601:surgery; D013156:Splenectomy; D014513:Ureter / Q000601:surgery