The role of laparoscopy in the identification and management of missing accessory spleens after primary splenectomy: A case report and literature review.
We present a 7-year-old boy with recurrent thrombocytopenia after primary laparoscopic splenectomy for immune thrombocytopenia (ITP). Imaging modalities (ultrasound, computed tomography scan, and scintigraphy) revealed two accessory spleens while the subsequent second laparoscopy revealed 11, which were successfully removed. The relevant medical literature is reviewed, and the value of laparoscopy for chronic ITP is highlighted.
Department of Pediatric Surgery, Alexandroupolis University General Hospital, Faculty of Medicine, Democritus University of Thrace, Thrace, Greece.
George
G
Vaos
Department of Pediatrics, Alexandroupolis University General Hospital, Faculty of Medicine, Democritus University of Thrace, Thrace, Greece.
Elpis
E
Mantadakis
Department of Pediatric Surgery, Alexandroupolis University General Hospital, Faculty of Medicine, Democritus University of Thrace, Thrace, Greece.
Stefanos
S
Gardikis
Second Department of Surgery, Alexandroupolis University General Hospital, Faculty of Medicine, Democritus University of Thrace, Thrace, Greece.
Michael
M
Pitiakoudis
Accessory spleen; immune thrombocytopenic purpura; laparoscopic splenectomy; splenectomy of accessory spleens; thrombocytopenia
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