Vanishing spleen after Nissen fundoplication: a case report
European Journal of Pediatrics(2008)
摘要
Nissen fundoplication is a generally accepted treatment for severe gastro-oesophageal reflux after conservative management has failed. The surgical techniques and the complications that may develop following the operation have been well described. However, necrosis of the spleen is a rare complication. We report here a patient with Down syndrome with a vanishing spleen after a Nissen fundoplication, who died of overwhelming pneumococcal septic shock 7 months after the operation. Vascular anomaly in Down syndrome, inadvertent ligation of the splenic artery or volvulus of the spleen may have caused a compromised splenic arterial circulation. Conclusion Nissen fundoplication may be associated with vanishing spleen and, consequently, with devastating consequences.
更多查看译文
关键词
Asplenia,Nissen fundoplication,Spleen
AI 理解论文
溯源树
样例
生成溯源树,研究论文发展脉络
Chat Paper
正在生成论文摘要