What are possible complications of surgery for splenic infarct?

Updated: Jul 27, 2020
  • Author: Manish Parikh, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

Pulmonary complications (eg, pneumonia, atelectasis) were the most frequent complication (20%) in the series reported by Nores et al. [12] With the current trend toward a laparoscopic approach to splenectomy and partial splenectomy, this complication rate should be significantly reduced.

Postoperative abscess, fever, and wound infection constitute the second most common category of complications (~10%). The first line of treatment is radiologically guided percutaneous drainage and antibiotics. A missed injury to a viscus (eg, stomach or colon) should be ruled out.

Hemorrhage, though relatively infrequent, can follow splenectomy as a consequence of the intense perisplenic inflammation.


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