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Journals / Journal of Surgery and Medicine / 2020 / Cilt: 4 - Sayı: 1

Congenital isolated asplenia accidentally discovered during acute peritonitis

Akut peritonit sırasında tesadüfen fark edilen konjenital izole asplenia

Elmarouni ABDELOUHAB
Karam AZIZ
Et-tayeb OUZZANI
Ahmed ZERHOUNI
Tarik SOUIKI
Karim IBN MAJDOUB EL HASSANI
Khalid MAZAZ
Imane TOUGHRAI
Pages
93–95
Publication Date
2020-01-02
DOI
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AI Summary & Key Takeaways

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

We herein report the unusual case of a patient with congenital asplenia, which was discovered fortuitously during an emergency laparotomy for peritonitis due to ulcer perforation.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:An extremely rare condition, congenital asplenia has 2 distinct types: heterotaxy syndromes and isolated congenital asplenia (ICA).
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Key Findings & Data:Those affected are typically at increased risk for fulminant sepsis and carry a higher risk of noninfectious complications, such as thrombocytosis and mesenteric thrombosis.
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Conclusion & Impact:We herein report the unusual case of a patient with congenital asplenia, which was discovered fortuitously during an emergency laparotomy for peritonitis due to ulcer perforation.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Konjenital izole asplenia · Yetişkin peritoniti · Congenital isolated asplenia

Abstract

An extremely rare condition, congenital asplenia has 2 distinct types: heterotaxy syndromes and isolated congenital asplenia (ICA). Ivemark syndrome is one of the heterotaxy syndromes characterized by asplenia, malformations of the heart, and malposition of internal organs in the chest and abdomen. ICA cases are also fatal in childhood, but there are reported living adult cases. Those affected are typically at increased risk for fulminant sepsis and carry a higher risk of noninfectious complications, such as thrombocytosis and mesenteric thrombosis. We herein report the unusual case of a patient with congenital asplenia, which was discovered fortuitously during an emergency laparotomy for peritonitis due to ulcer perforation.

Özet

Çok nadir görülen bir durum olan konjenital aspleninin 2 farklı tipi vardır: heterotaksi sendromları ve izole konjenital aspleni (ICA). Ivemark sendromu, asplenia, kalbin malformasyonları ve göğüs ve karındaki iç organların malpozisyonu ile karakterize heterotaksi sendromlarından biridir. ICA vakaları çocuklukta da ölümcüldür, ancak bildirilen canlı yetişkin vakaları mevcuttur. Etkilenenler tipik olarak fulminan sepsis için yüksek risk altındadır ve trombositoz ve mezenterik tromboz gibi bulaşıcı olmayan komplikasyon riski daha yüksektir. Burada ülser perforasyonuna bağlı peritonit için acil bir laparotomi sırasında tesadüfen saptanan doğuştan asplenisi olan bir hastanın olağandışı olgusunu sunuyoruz.

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Cite This Article

ABDELOUHAB, E., AZIZ, K., OUZZANI, E., ZERHOUNI, A., SOUIKI, T., HASSANI, K. I. M. E., MAZAZ, K., TOUGHRAI, I. (2020). Congenital isolated asplenia accidentally discovered during acute peritonitis. Journal of Surgery and Medicine, Cilt: 4 - Sayı: 1, 93–95. https://ajindex.com/articles/780433

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