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Reasons for hospitalization: chest pain fever, chills (2 weeks before admission) left knee swelling Asthenia left upper quadrant pain and joint scapular - humeral left APP:
The likely diagnosis of splenic infarction abcedat, laparoscopic surgery is. It finds well represented greater omentum attached to the front edge of the anterior diaphragmatic and spleen. The practice ligament sectioning gastro - spleen, splenocytes - colic, splenocytes -renal, splenocytes -diafragmatic is identify splenic artery, which clipeaza and sectioning, identifying venous branches which coagulates.
Splenic infarction may be segmental or total interest for the entire parenchyma. Splenic infarction etiology is varied, the main causes being represented by: benign or malignant tattoo quotes hematologic disorders, embolic disease, autoimmune diseases, collagen diseases, pancreatitis, amyloidosis, sarcoidosis, tattoo quotes iatrogenic causes.
The main clinical manifestations of splenic infarction are left upper quadrant pain, fever, chills, pain in the left shoulder, chest pain. Surgical treatment is indicated only if splenic infarction complications, and not independent of the condition, as follows: abscess tattoo quotes rupture bleeding persistent pseudocyst
Splenic abscess is a pus collection splenic caused by bacteria (pyogenic abscesses) or fungi (fungal abscesses). Pyogenic abscesses are most common and usually occur during an outbreak of bacteremia secondary primary septic extrasplenic: bacterial endocarditis, lung abscess, osteomyelitis. Sometimes, splenic abscess is a consequence of contamination marrow splenic infarction, intrasplenically posttraumatic tattoo quotes hematoma, areas of tumor necrosis induced by chemotherapy and radiotherapy, splenic cyst or a propagation of an outbreak is due to septic nearby.
Clinical: left upper quadrant pain with radiation to the left shoulder or scapular region (Kehr's sign) septic Fever Chills sensitivity and / or left upper quadrant pulping Splenomegaly
Laparoscopic splenectomy (SL) is intervention for removal of spleen parenchyma with normal or pathological laparoscopically. The first laparoscopic splenectomy was performed Delaitre in Paris in 1991.
Indications splenic bleeding Hypersplenism severe splenic tumor lesions localized splenic infarction splenic infections (abscesses, chronic infections) giant splenomegaly - compression on TD
Laparoscopic splenectomy is a feasible method that can be performed in specialized centers well, requiring high professional experience tattoo quotes due to the possibility of complications threatening.
Features: tattoo quotes faster tattoo quotes postoperative recovery early resumption of bowel reduced incidence of complications: parietal, pulmonary, infectious Reduced Hospitalization Social Reintegration tattoo quotes - Professional fastest
The particularity of the case lies in the difficulties of diagnosis, both because of the lack of specificity of symptoms, tattoo quotes and the patient's pathology. Therefore, further tattoo quotes investigations imaging (abdominal ultrasound, tattoo quotes CT) provided a more accurate diagnosis and treatment could guide the physician to follow.
Conclusion: Splenectomy, framed by adequate antibiotic therapy remains the safest method and rapid splenic abscesses if extended, and in case of failures complicated by rupture or spleen preservation tattoo quotes processes.
Splenic abscess is a clinical entity - rare pathological, but practical importance of this disease comes from diagnostic difficulties they raise, with the consequence of delaying tattoo quotes appropriate therapeutic attitude and thus increased risk of mortality.
1. Treaty of Surgical tattoo quotes Pathology, edited by Nicholas Angelescu, Medical Publishing House, Bucharest, 2003, page 2084 2. Abscess Lien - etiological, clinical and diagnostic Gh. Ghidirim, Gh. Rojnoveanu, I. Mishin, I. Gagauz, R . Gurghis tattoo quotes (Surgery, 102 (3): 309-314) 3. splenic abscesses associated with multiple adult hydrocephalus, M. Antonescu, C. Matthew, Matthew I., A. Sabau, L. Beli, D. Sabau (surgery, 105 (1): 97-102 4. laparoscopic splenectomy - surgical technique, E. Târcoveanu, R. Moldovanu, C. Fir (Journal of Surgery Iasi, 2007, Vol. 3, no. 3 [ISSN 1584-9341] 5. Atlas of Human Anatomy Frank H. Netter, Publisher Callisto, 4th edition, 2008, p. 299 6. Manual of Surgery for students, Eugen Bratucu, vol. 2, Academic Publishing House "Carol Davila", Bucharest, 2009 7. Schwartz's Principles of Surgery, 9th edition, F. Brunicardi, Dana Andersen, tattoo quotes Timothy Billiar, David Dunn, John Hunter, Jeffrey Matthews, Raphael E. Pollock 8. http: // eMedia
Reasons for hospitalization: chest pain fever, chills (2 weeks before admission) left knee swelling Asthenia left upper quadrant pain and joint scapular - humeral left APP:
The likely diagnosis of splenic infarction abcedat, laparoscopic surgery is. It finds well represented greater omentum attached to the front edge of the anterior diaphragmatic and spleen. The practice ligament sectioning gastro - spleen, splenocytes - colic, splenocytes -renal, splenocytes -diafragmatic is identify splenic artery, which clipeaza and sectioning, identifying venous branches which coagulates.
Splenic infarction may be segmental or total interest for the entire parenchyma. Splenic infarction etiology is varied, the main causes being represented by: benign or malignant tattoo quotes hematologic disorders, embolic disease, autoimmune diseases, collagen diseases, pancreatitis, amyloidosis, sarcoidosis, tattoo quotes iatrogenic causes.
The main clinical manifestations of splenic infarction are left upper quadrant pain, fever, chills, pain in the left shoulder, chest pain. Surgical treatment is indicated only if splenic infarction complications, and not independent of the condition, as follows: abscess tattoo quotes rupture bleeding persistent pseudocyst
Splenic abscess is a pus collection splenic caused by bacteria (pyogenic abscesses) or fungi (fungal abscesses). Pyogenic abscesses are most common and usually occur during an outbreak of bacteremia secondary primary septic extrasplenic: bacterial endocarditis, lung abscess, osteomyelitis. Sometimes, splenic abscess is a consequence of contamination marrow splenic infarction, intrasplenically posttraumatic tattoo quotes hematoma, areas of tumor necrosis induced by chemotherapy and radiotherapy, splenic cyst or a propagation of an outbreak is due to septic nearby.
Clinical: left upper quadrant pain with radiation to the left shoulder or scapular region (Kehr's sign) septic Fever Chills sensitivity and / or left upper quadrant pulping Splenomegaly
Laparoscopic splenectomy (SL) is intervention for removal of spleen parenchyma with normal or pathological laparoscopically. The first laparoscopic splenectomy was performed Delaitre in Paris in 1991.
Indications splenic bleeding Hypersplenism severe splenic tumor lesions localized splenic infarction splenic infections (abscesses, chronic infections) giant splenomegaly - compression on TD
Laparoscopic splenectomy is a feasible method that can be performed in specialized centers well, requiring high professional experience tattoo quotes due to the possibility of complications threatening.
Features: tattoo quotes faster tattoo quotes postoperative recovery early resumption of bowel reduced incidence of complications: parietal, pulmonary, infectious Reduced Hospitalization Social Reintegration tattoo quotes - Professional fastest
The particularity of the case lies in the difficulties of diagnosis, both because of the lack of specificity of symptoms, tattoo quotes and the patient's pathology. Therefore, further tattoo quotes investigations imaging (abdominal ultrasound, tattoo quotes CT) provided a more accurate diagnosis and treatment could guide the physician to follow.
Conclusion: Splenectomy, framed by adequate antibiotic therapy remains the safest method and rapid splenic abscesses if extended, and in case of failures complicated by rupture or spleen preservation tattoo quotes processes.
Splenic abscess is a clinical entity - rare pathological, but practical importance of this disease comes from diagnostic difficulties they raise, with the consequence of delaying tattoo quotes appropriate therapeutic attitude and thus increased risk of mortality.
1. Treaty of Surgical tattoo quotes Pathology, edited by Nicholas Angelescu, Medical Publishing House, Bucharest, 2003, page 2084 2. Abscess Lien - etiological, clinical and diagnostic Gh. Ghidirim, Gh. Rojnoveanu, I. Mishin, I. Gagauz, R . Gurghis tattoo quotes (Surgery, 102 (3): 309-314) 3. splenic abscesses associated with multiple adult hydrocephalus, M. Antonescu, C. Matthew, Matthew I., A. Sabau, L. Beli, D. Sabau (surgery, 105 (1): 97-102 4. laparoscopic splenectomy - surgical technique, E. Târcoveanu, R. Moldovanu, C. Fir (Journal of Surgery Iasi, 2007, Vol. 3, no. 3 [ISSN 1584-9341] 5. Atlas of Human Anatomy Frank H. Netter, Publisher Callisto, 4th edition, 2008, p. 299 6. Manual of Surgery for students, Eugen Bratucu, vol. 2, Academic Publishing House "Carol Davila", Bucharest, 2009 7. Schwartz's Principles of Surgery, 9th edition, F. Brunicardi, Dana Andersen, tattoo quotes Timothy Billiar, David Dunn, John Hunter, Jeffrey Matthews, Raphael E. Pollock 8. http: // eMedia
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