d) All are indications for splenectomy
d) Cystic lymphangioma
d) platelet count of 10000 despite management for 6 weeks but no bleeding.
Q4 ) True regarding abscess of the spleen are all except
d) 2/3rd of the splenic abscess are solitary in adults
d) Mesh wrapping is recommended for Grade IV injuries
d) In one third of adults splenic abscess is multilocular
Splenectomy is indicated for NHL patients with massive splenomegaly leading to abdominal pain, early satiety, and fullness. It may also be indicated for patients who develop anemia, neutropenia, and thrombocytopenia associated with hypersplenism. Splenectomy may also be instrumental in the diagnosis and staging of patients with isolated splenic disease.
Pseudocyst- Aspirations, Catheter drainage, Partial splenectomy, Splenectomy or a recent technique of partial splenic decapsulization (marsupilization)
2. ITP diagnosed for 3 months with platelet count of less than 30000
Splenomegaly is present in only a minority of patients. In adults 2/3rd of splenic abscess are solitary where as in children only 1/3rd are solitary.
2. Prevention of Left Subphrenic abscess.
S. pneumoniae is the most frequently involved organism in OPSI and is estimated to be responsible for between 50% and 90% of cases. Other organisms involved in OPSI include Haemophilus influenzae, Neisseria meningitidis, Streptococcus species and other pneumococcal species, Salmonella species, and Capnocytophaga canimorsus
Splenectomy is preferred in adults
Haematogenous route is the most common route for acquiring splenic abscess (70%). Risk factors inculde polycythemia vera, malignancies, IV drugs etc. Unilocular splenic abscess has mortality rates of 15-20% and multiloculated abscess about 80%. Typical symptoms are fever, pain abdomen, pleuritic chest pain. Splenomegaly is uncommon. In 1/3rd adults abscess is multilocular.