Hand-Assisted Laparoscopic Splenectomy for Idiopathic Splenic Infarction: Report of a Case
陳榮堅(Jung-Chien Chen)；林鉷彬(Hung-Bun Lam)；劉建良(Chien-Liang Liu)
splenic infarction ； hand-assisted laparoscopic splenectomy
Formosan Journal of Surgery
|Volume or Term/Year and Month of Publication||
38卷6期（2005 / 12 / 01）
285 - 288
Splenic infarction is an uncommon condition, and it is difficult diagnose the early stage of this disease. Most of these cases have obvious underlying etiologies, and these etiologies may provide the clues to their diagnoses. We present a case of idiopathic splenic infarction. A 40-year-old male was admitted because of fever and chills for 4 days. The abdominal computed tomography (CT) showed splenic infarction. Studies including blood culture, echocardiography and rheumatoid factor, were negative. Medical treatment was given first, but the symptoms did not improve. And the magnetic resonance imaging (MRI) revealed increased infarction areas. After failure of medical treatment, hand-assisted laparoscopic splenectomy was performed. Multiple infarction areas with abscess were seen in the specimen, and the culture of this abscess was negative. The post-operative course was smooth and the patient recovered well. We also review the medical literature. Precise diagnosis with adequate timing of surgical intervention will provide better prognosis for splenic infarction.