Indications of splenectomy are all except: March 2008
Correct Answer: Polycythemia
Description: Ans. C: Polycythemia Indications for splenectomy? Trauma - Commonest organ injured in blunt abdominal trauma - Associated with lower rib fractures - 25% injuries are iatrogenic - Delayed rupture of splenic haematoma Spontaneous rupture - Usually seen in those with massive splenomegaly (e.g. infectious mononucleosis) - Often precipitated by minor trauma Hypersplenism Hereditary spherocytosis or elliptocytosis - Idiopathic thrombocytopenic purpura Neoplasia - Lymphoma or leukaemic infiltration - Splenectomy not usually required for diagnosis - Only required if hypersplenism resistant to treatment With other viscera - Total gastrectomy - Distal pancreatectomy Other indications - Splenic Cysts - Hydatid Cysts Splenic abscesses Oppounist Post Splenectomy Infection (OPSI) Infection due to encapsulated bacteria 50% due to strep. Pneumoniae Other organisms include: - Haemophilus influenzae - Neisseria meningitidis Occurs post splenectomy in 4% patients without prophylaxis Moality of OPSI is approximately 50% Greatest risk in first 2 years post op
Category:
Surgery
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now