title: Spontaneous splenic rupture during Pringle maneuver in liver surgery.
abstract: During liver resection clamping of the hepato-duodenal ligament (the Pringle maneuver) is performed to reduce intraoperative blood-loss. During this maneuver acute portal hypertension may lead to spontaneous splenic rupture requiring rapid splenectomy in order to control blood loss. We present 2 case of patients with hemorrhage from the spleen during clamping for liver surgery. A review of the literature with an emphasis on the pathophysiology of splenic hemorrhage is presented.
authors.affiliation: Jesse M van Buijtenen, Department of Surgery, Westfriesgasthuis, PO Box 600, AR Hoorn Hoorn 1620, The Netherlands.
authors.forename: Jesse M
authors.initials: JM
authors.lastname: van Buijtenen
authors.forename: Bas
authors.initials: B
authors.lastname: Lamme
authors.forename: Erik J
authors.initials: EJ
authors.lastname: Hesselink