Walters D N, Roberts J L, Votaw M
Department of Surgery, James H. Quillen College of Medicine, East Tennessee State University, Johnson City 37614-0575, USA.
Am Surg. 1998 Nov;64(11):1077-8.
Although splenectomy for chronic immune thrombocytopenic purpura (ITP) is successful in the majority of patients, recurrence of thrombocytopenia may occur in association with a functional accessory spleen, sometimes years after operation. Identification and resection of the accessory spleen under these circumstances may result in a sustained remission. We describe a case of recurrent thrombocytopenia associated with an accessory spleen occurring 5 years after splenectomy in a young woman with chronic immune thrombocytopenic purpura. Accessory splenectomy was successful in producing a sustained remission.
尽管脾切除术治疗慢性免疫性血小板减少性紫癜（ITP）在大多数患者中取得成功，但血小板减少症可能会复发，并伴有功能性副脾，有时在术后数年出现。在这种情况下识别并切除副脾可能会导致病情持续缓解。我们描述了一例年轻女性慢性免疫性血小板减少性紫癜患者，脾切除术后5年出现与副脾相关的复发性血小板减少症。副脾切除术成功实现了病情的持续缓解。
