Open AccessThe role of laparoscopy in the identification and management of missing accessory spleens after primary splenectomy: A case report and literature review
Author(s) -
George Vaos,
Elpis Mantadakis,
Stefanos Gardikis,
Michail Pitiakoudis
Publication year - 2016
Publication title -
journal of indian association of pediatric surgeons
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.306
H-Index - 17
eISSN - 1998-3891
pISSN - 0971-9261
DOI - 10.4103/0971-9261.186554
Subject(s) - medicine , laparoscopy , splenectomy , modalities , accessory spleen , scintigraphy , radiology , computed tomography , immune thrombocytopenia , ultrasound , general surgery , surgery , spleen , antibody , immunology , social science , sociology
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.