title: Splenic injury following diaphragmatic plication: an avoidable life-threatening complication.
abstract: We report an unusual complication of left-sided diaphragmatic plication, namely bleeding from the spleen due to tearing of adhesions between the spleen and the abdominal aspect of the diaphragm. We believe that making a small incision in the diaphragm prior to the plication to identify and divide the adhesions could have prevented the complication, and that this manoeuvre should be a standard part of the operation.
authors.affiliation: Department of Thoracic Surgery, Liverpool Heart and Chest Hospital, Thomas Drive, Liverpool, L14 2EY, UK.
authors.forename: Samir
authors.initials: S
authors.lastname: Pathak
authors.forename: Richard D
authors.initials: RD
authors.lastname: Page
mesh_terms: D003964:Diaphragm / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D012086:Reoperation; D013154:Spleen / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D013156:Splenectomy; D013536:Suture Techniques / Q000009:adverse effects*; D013908:Thoracotomy; D000267:Tissue Adhesions; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome