c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Massive Splenomegaly: 1

A D V E R T I S E M E N T

   
 

A 61-year-old woman with splenomegaly secondary to chronic metamyelocytic leukemia (CMML), a form of myelodysplastic syndrome, was referred to surgery for splenectomy because of symptoms of early satiety and left upper quadrant pain. She was also thrombocytopenic from platelet sequestration and destruction in the enlarged spleen. On the basis of venous collateralization, a diagnosis of splenic vein thrombosis was made.      

Notes:

Link to this frame from your Personal Thumbnails page? Yes No


 

Massive Splenomegaly: 2

A D V E R T I S E M E N T

   
 

The scout film shows the enlarges spleen extending down to the top of the iliac crest. Because of a pre-op platelet count of 30,000, one quad pack of platelets was administered prior to the start of the operation. A minimal platelet count of 50,000 is necessary to safely proceed with surgery.      

Notes:

Link to this frame from your Personal Thumbnails page? Yes No


 

Massive Splenomegaly: 3

A D V E R T I S E M E N T

   
 

The spleen lies far posterior in the left upper quadrant (see spleen anatomy and splenectomy storyboards).  Massive enlargement makes exposure of the splenic ligaments and vessels much more difficult.      

Notes:

Link to this frame from your Personal Thumbnails page? Yes No

 

Click the "Update" button to save your Notes and Personal Thumbnails.

 

Thumbnails

This page was last modified on 3/14/2000.