Shrestha, B. and Hampton, J. (2017) Intra-abdominal abscess and intractable sinus - a rare late complication after splenectomy. World Journal of Clinical Cases, 5 (1). p. 14.
Abstract
Intra-abdominal abscess and an intractable abdominal wall sinus forty years after splenectomy is rare, which has not been described previously in the surgical literature. We report the management of a patient who had presented with an intractable sinus on his left hypochondrium forty years after having undergone splenectomy and cholecystectomy, which persisted for more than two years despite repeated surgery and courses of antibiotics and compromised quality of life significantly from pain. A sinogram and computerised tomographic scan followed by exploration and laying open of the sinus delivered multiple silk sutures used for ligation of splenic pedicle, led to complete resolution of the sinus. It is important to avoid using non-absorbable silk sutures during splenectomy when splenectomy is undertaken in a contaminated field. Appropriate imaging and exploration is mandatory for its resolution.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/ licenses/by-nc/4.0/ |
Keywords: | Abscess; Intractable; Late presentation; Splenectomy; Sinus |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > The Medical School (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 14 Feb 2017 10:27 |
Last Modified: | 14 Feb 2017 10:27 |
Published Version: | http://doi.org/10.12998/wjcc.v5.i1.14 |
Status: | Published |
Publisher: | Baishideng Publishing Group |
Refereed: | Yes |
Identification Number: | 10.12998/wjcc.v5.i1.14 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:112276 |