Splenectomy reasons and selected outcomes
| Reason . | No. (n = 39) . | Outcome . |
|---|---|---|
| ITP | 12 | 11 cases resolved ITP, 1 case complicated by postoperative sepsis but this patient was not yet on immunoglobulin therapy |
| Hypersplenism | 9 | 6 cases resolved with no sequelae, 2 cases resolved hypersplenism but later developed liver failure with portal hypertension of unclear etiology, 1 case later developed bone marrow failure |
| AIHA | 6 | 4 cases resolved AIHA, 2 cases complicated by fistulae, 1 from the pancreas to the back, 1 to the stomach and abdominal wall |
| Hodgkin disease staging | 2 | 2 patients received chemotherapy for Hodgkin disease, both later died of lymphoma |
| Enlarged spleen and hypersplenism | 2 | 1 case resolved, 1 case improved |
| Unknown reason | 2 | 1 patient eventually developed lymphoma |
| Lymphoma | 1 | Patient found to have lymphoma |
| ITP/AIHA | 1 | Patient needed rituxumab for recurrence |
| Enlarged spleen | 1 | Splenomegaly with no other pathology |
| Abscess of spleen | 1 | Patient with splenic abscess with extension to psoas muscle |
| Enlarged spleen, presumed lymphoma | 1 | Patient with granulomata on pathology after splenectomy, no lymphoma found |
| Presumed lymphoma (medical error) | 1 | Spleen lost; pathology unknown, but patient given chemotherapy |
| Reason . | No. (n = 39) . | Outcome . |
|---|---|---|
| ITP | 12 | 11 cases resolved ITP, 1 case complicated by postoperative sepsis but this patient was not yet on immunoglobulin therapy |
| Hypersplenism | 9 | 6 cases resolved with no sequelae, 2 cases resolved hypersplenism but later developed liver failure with portal hypertension of unclear etiology, 1 case later developed bone marrow failure |
| AIHA | 6 | 4 cases resolved AIHA, 2 cases complicated by fistulae, 1 from the pancreas to the back, 1 to the stomach and abdominal wall |
| Hodgkin disease staging | 2 | 2 patients received chemotherapy for Hodgkin disease, both later died of lymphoma |
| Enlarged spleen and hypersplenism | 2 | 1 case resolved, 1 case improved |
| Unknown reason | 2 | 1 patient eventually developed lymphoma |
| Lymphoma | 1 | Patient found to have lymphoma |
| ITP/AIHA | 1 | Patient needed rituxumab for recurrence |
| Enlarged spleen | 1 | Splenomegaly with no other pathology |
| Abscess of spleen | 1 | Patient with splenic abscess with extension to psoas muscle |
| Enlarged spleen, presumed lymphoma | 1 | Patient with granulomata on pathology after splenectomy, no lymphoma found |
| Presumed lymphoma (medical error) | 1 | Spleen lost; pathology unknown, but patient given chemotherapy |