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2013, Number 2

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Rev Mex Cir Endoscop 2013; 14 (2)

Accesory spleen resection in situs inversus: Laparoscopic management

Sotelo EJC, Souza GLM, Martínez CMO, Amescua RML

Language: Spanish
References: 14
Page: 98-102
PDF size: 328.17 Kb.


ABSTRACT

Introduction: Hereditary spherocytosis is the most frequent cause of hemolitic anemia reported in the literature. Part of the treatment, when medical support fails, splenectomy and laparoscopy is the approach chosen. Objective: The aim of this study is to report the case of a patient with a rare variety of hereditary spherositosis accessory spleen and situs inversus and laparoscopic treatment, with basic equipment. Clinical case: We report a case of a 33 year old patient with recurrent hereditary spherocytosis with accessory spleen, situs inversus and secondary thrombocytosis. We describe the laparoscopic surgical treatment and the findings of it. In this case report, the anatomic anomalies, previous abdominal surgery, comorbilities an the unusual location of accessory spleen represented a major surgical challenge that needs to be studied in the preoperative period. Conclusion: Splenectomy by laparoscopic approach in patients with situs inversus represent a surgical challenge for a surgeon due to previous abdominal surgery an anatomic anomalies that need to be taken into account when performing the procedure.


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