In distal pancreatectomy, splenectomy has usually been an expedient component. In view of the recognized risk of overwhelming postsplenectomy septicaemia the current trend is splenic salvage whenever possible, in trauma surgery as well as in elective surgery. In order to emphasise this point we report a case of distal pancreatectomy with splenic salvage.

Female↗

PubMed1989

[Vascular injuries].

Explore the source record for details and available documents.

Blood Vessels↗

PubMed1989

[Injuries in alpine skiing].

Explore the source record for details and available documents.

Athletic Injuries↗

PubMed1989

Ultrasonography and parameters of inflammation in acute appendicitis. A comparison with clinical findings.

A prospective study of 110 unselected patients with suspected acute appendicitis comprised ultrasonography and parameters of inflammation--c-reactive protein, white blood cell count, erythrocyte sedimentation rate and Yersinia antibody titer. The results were compared with the initial clinical diagnosis. Acute appendicitis was confirmed in 28 cases (prevalence 25.4%). The negative laparotomy rate was 11.4% and the appendiceal perforation rate 10.7% Clinical judgment and ultrasonography were statistically highly significant as predictors of acute appendicitis, whereas the indications given by c-reactive protein and white blood cell count did not reach statistical significance.

Acute Disease↗

PubMed1989

Rupture of the spleen following endoscopic retrograde cholangiopancreatography (ERCP). Case report.

In a 46-year-old woman endoscopic retrograde cholangiopancreatography, performed to evaluate acute pancreatitis, was followed by splenic rupture, probably due to manipulation of the patient on the X-ray table in combination with the endoscopic procedure. The excised spleen was histologically normal. Various causes of splenic rupture are discussed.

Acute Disease↗

PubMed1988