title: Postsplenectomy left lower lobe bronchiectasis.
abstract: BACKGROUND
  Bronchiectasis has decreased significantly. I describe a new underestimated clinicopathological entity of postsplenectomy left lower lobe bronchiectasis.
  
  
  METHODS
  This is a retrospective study on 24 patients who had a left lower lobectomy for left lower lobe bronchiectasis after splenectomy. The mean age was 34.6 years (range 18 to 63 years); there were 19 men and 5 women. The available data included history, radiological investigations (ultrasonography and computed tomography of the chest and abdomen), operative data, postoperative complications, and follow-up data.
  
  
  RESULTS
  All patients had a history of splenectomy and 10 had undergone subphrenic collection drainage either percutaneously or through open drainage a few years prior to the left lower lobectomy. Fourteen patients were lost to follow-up. The mean follow-up in 10 patients was 5.8 years (range 2 to 13 years).
  
  
  CONCLUSIONS
  Postsplenectomy left lower lobe bronchiectasis is an underestimated clinicopathological entity of bronchiectasis. It can be managed by a left lower lobectomy, with acceptable results.
authors.affiliation: Cardiothoracic Surgery Department, Mansoura University, Mansoura, Egypt, and King Abdullah Medical City, Makkah, Saudi Arabia Sameh001@yahoo.com.
authors.forename: Sameh I
authors.initials: SI
authors.lastname: Sersar
mesh_terms: D000293:Adolescent; D000328:Adult; D001987:Bronchiectasis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D013156:Splenectomy / Q000009:adverse effects*; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: Bronchiectasis; bronchoscopy; lobectomy; splenectomy