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Journals / Journal of Turkish Spinal Surgery / 2010 / Cilt: 21 - Sayı: 1

Tüberkülöz spondiliti tanısı ile anterior torakotomi ve posterior enstrümantasyon yapılan hastada dalak rüptürü

Spleen rupture after anterior thoracotomy and posterior instrumentation for tuberculosis spondylitis

Alihan DERİNCEK
Metin ÖZALAY
Murat ÇINAR
Mustafa UYSAL
Pages
73–78
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Splenic rupture should be considered as part of the differential diagnosis for patients with hemodynamic instability after spinal surgeries.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Spleen rupture occurred in a 54 year old woman who underwent anterior thoracotomy and posterior instrumented fusion for T11-12 tuberculosis spondylitis.
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Key Findings & Data:The spleen was also involved with necrotizing granulamatous inflammation.
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Conclusion & Impact:Splenic rupture should be considered as part of the differential diagnosis for patients with hemodynamic instability after spinal surgeries.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Spleen rupture occurred in a 54 year old woman who underwent anterior thoracotomy and posterior instrumented fusion for T11-12 tuberculosis spondylitis. The spleen was also involved with necrotizing granulamatous inflammation. Splenectomy was performed for hemodynamic instability due to spleen rupture. Splenic rupture should be considered as part of the differential diagnosis for patients with hemodynamic instability after spinal surgeries.

Özet

54 yaşındaki bayan hastaya, T11-12 Tüberküloz spondilit tanısı ile anterior torakotomi + abse drenajı ve posterior enstrümantasyon uygulanmıştır. Ameliyat sonrası erken dönemde hemodinamik instabilite gelişen hastada dalak rüptürü saptanarak splenektomi uygulanmıştır. Patolojik incelemede sonrasında dalakta ilaveten nekrotizan granülomatöz inflamasyon saptanmıştır. Omurga ameliyatları sonrası gelişen hemodinamik instabilitelerde dalak rüptürü mutlaka akla getirilmelidir.

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Cite This Article

DERİNCEK, A., ÖZALAY, M., ÇINAR, M., UYSAL, M. (2010). Tüberkülöz spondiliti tanısı ile anterior torakotomi ve posterior enstrümantasyon yapılan hastada dalak rüptürü. Journal of Turkish Spinal Surgery, Cilt: 21 - Sayı: 1, 73–78. https://ajindex.com/articles/271477

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References (9)

  1. Christodoulou AG, Ploumis A, Terzidis IP, Timiliotou K, Gerogianni N, Spyridis C. Spleen rupture after surgery in Marfan syndrome scoliosis. J Pediatr Orthop 2004; 24(5): 537-540
  2. Debnath D and Valerio D. Atraumatic rupture of the spleen in adults. J R Coll Surg Edinb 2002; 47: 437–445
  3. Gedik E, Girgin S, Aldemir M, Keles C, Tuncer MC, Aktas A. Non-traumatic splenic rupture: report of seven cases and review of the literature. World J Gastroenterol 2008; 21; 14(43): 6711-6716
  4. Heyworth BE, Schwab JH, Boachie-Adjei OB (2008) Case reports: splenic rupture after anterior thoracolumbar spinal fusion through a thoracoabdominal approach. Clin Orthop Rel Res 2008; 466(9): 2271-2275
  5. Hodge WA, DeWald RL. Splenic injury complicating the anterior thoracoabdominal surgical approach for scoliosis: a report of two cases. J Bone Joint Surg 1983; 65-A: 396–397
  6. Hodgson AR, Stock FE. Anterior spinal fusion: a preliminary communication on the radical treatment of Pott's disease and Pott's paraplegia. Br J Surg 1956; 44: 266-275
  7. Klotz S, Semik M, Senninger N, Berendes E, Scheld HH. Spontaneous splenic rupture after a left-side thoracotomy: report of a case. Surg Today 2003; 33(8): 636-638
  8. Mokashi AJ, Shirahatti RG, Prabhu SK, Vagholkar KR (1992) Pathological rupture of malarial spleen. J Postgrad Med 1992; 38(3):141-142
  9. Nicholl J, McAdam G, Donaldson D. Three cases of early spontaneous splenic rupture associated with acute viral infection. J R Coll Surg Edin 1993; 38 (6): 351-352. 10.Ram R, Swarnalatha G, Prasad N, Murty KV. Pathological rupture of spleen in a haemodialysis patient due to tuberculosis. Nephrol Dial Transplant 2006; 21(10): 2994- 2995. Epub 2006 Jul 22. 11.Safioleas MC, Stamatakos MC, Safioleas CM, Diab AI, Agapitos EB. Co-existence of spontaneous splenic rupture and tuberculosis of the spleen. Saudi Med J 2006; 27(10): 1588- 1590. 12.Sin A, Smith D, Nanda A. Iatrogenic splenic injury during anterior thoracolumbar spinal surgery. Case report. J Neurosurg Spine 2007; 7(2): 227-229.