Barbaros Umut, Dinççağ Ahmet, Kabul Esin
Department of General Surgery, Istanbul Medical Faculty, Istanbul University, CAPA, Turkey.
Surg Laparosc Endosc Percutan Tech. 2006 Jun;16(3):187-9. doi: 10.1097/00129689-200606000-00016.
Splenosis has been serious etiologic reason in the recurrence of benign hematologic diseases after elective open or laparoscopic splenectomy. Although, the incidence of splenosis in patients splenectomized for trauma is high, as long as they are asymptomatic, they do not require surgical treatment. Herein, we report a case of idiopathic thrombocytopenic purpura recurrence due to splenosis 5 years after the initial laparoscopic splenectomy. Laparoscopic treatment of splenosis was performed successfully.
脾组织自体移植是择期开放性或腹腔镜脾切除术后良性血液系统疾病复发的重要病因。虽然因创伤行脾切除术患者的脾组织自体移植发生率较高,但只要无症状,就无需手术治疗。在此,我们报告1例特发性血小板减少性紫癜患者在初次腹腔镜脾切除术后5年因脾组织自体移植复发的病例。成功实施了腹腔镜下脾组织自体移植治疗。