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- Title
Vanishing spleen after Nissen fundoplication: a case report.
- Authors
Dijkman, Koen P.; Van Heurn, L. W. Ernest; Leroy, Piet L. J. M.; Vos, Gijs D.
- Abstract
Nissen fundoplication is a generally accepted treatment for severe gastro-oesophageal reflux after conservative management has failed. The surgical techniques and the complications that may develop following the operation have been well described. However, necrosis of the spleen is a rare complication. We report here a patient with Down syndrome with a vanishing spleen after a Nissen fundoplication, who died of overwhelming pneumococcal septic shock 7 months after the operation. Vascular anomaly in Down syndrome, inadvertent ligation of the splenic artery or volvulus of the spleen may have caused a compromised splenic arterial circulation.Conclusion Nissen fundoplication may be associated with vanishing spleen and, consequently, with devastating consequences.
- Subjects
ASPLENIACEAE; SPLEEN; DISEASE complications; LYMPHOID tissue; BLOOD vessels; OPERATIVE surgery; STREPTOCOCCAL disease diagnosis; SPLENIC artery; AUTOPSY; GASTROESOPHAGEAL reflux; NECROSIS; SEPTIC shock; SPLEEN diseases; STREPTOCOCCAL diseases; STREPTOCOCCUS; SURGICAL complications; FUNDOPLICATION; TREATMENT effectiveness; WOUNDS &; injuries; DIAGNOSIS
- Publication
European Journal of Pediatrics, 2009, Vol 168, Issue 3, p355
- ISSN
0340-6199
- Publication type
journal article
- DOI
10.1007/s00431-008-0752-8