Subphrenic splenic implantation after splenectomy： A case report.
10.11817/j.issn.1672-7347.2020.190171
- Author:
Ying LI
1
;
Fanggen LU
2
;
Deliang LIU
3
;
Yuyong TAN
2
;
Min LUO
2
;
Yuqian ZHOU
2
Author Information
1. Department of Gastroenterology, Second Xiangya Hospital, Central South University, Changsha 410011, China. 794565531@qq.com.
2. Department of Gastroenterology, Second Xiangya Hospital, Central South University, Changsha 410011, China.
3. Department of Gastroenterology, Second Xiangya Hospital, Central South University, Changsha 410011, China. deliangliu@csu.edu.cn.
- Publication Type:Journal Article
- Keywords:
natural orifice translumenal endoscopic surgery;
splenectomy;
subphrenic splenic implantation;
therapeutic endoscopy
- MeSH:
Endoscopy;
Gastric Fundus;
Humans;
Intraoperative Complications;
Male;
Middle Aged;
Splenectomy/adverse effects*;
Tomography, X-Ray Computed
- From:
Journal of Central South University(Medical Sciences)
2020;45(10):1266-1268
- CountryChina
- Language:English
-
Abstract:
Subphrenic splenic implantation is a rare disease, usually occurred followed the splenic trauma and splenectomy. Surgeries are often necessary for diagnosing and treating it. A 46-year-old male post-splenectomy patient, tolerating abdominal bloating and pain for more than 1 year, was admitted to the Second Xiangya Hospital, Central South University. Fundus bulge suggested a possibility of stromal tumors originating from the muscularispropria layer with endoscopic ultrasound. Slightly stomachic thickness was detected using enhanced computed tomography (CT). Without any improvement for symptoms after medication, the patient strongly requested to undergo an endoscopic therapy. Natural orifice transluminal endoscopic surgery (NOTES) result confirmed it as subphrenic splenic implantation with postoperative pathology. In this case, NOTES helped us to confirm the diagnosis, relieve the symptoms, as well as prevent secondary surgery injury, which would be helpful to other clinicians.
