| CASE REPORT |
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| Year : 2016 | Volume
: 21
| Issue : 4 | Page : 196-198 |
The role of laparoscopy in the identification and management of missing accessory spleens after primary splenectomy: A case report and literature review
George Vaos1, Elpis Mantadakis2, Stefanos Gardikis1, Michael Pitiakoudis3
1 Department of Pediatric Surgery, Alexandroupolis University General Hospital, Faculty of Medicine, Democritus University of Thrace, Thrace, Greece
2 Department of Pediatrics, Alexandroupolis University General Hospital, Faculty of Medicine, Democritus University of Thrace, Thrace, Greece
3 Second Department of Surgery, Alexandroupolis University General Hospital, Faculty of Medicine, Democritus University of Thrace, Thrace, Greece
Correspondence Address:
George Vaos
Department of Pediatric Surgery, Alexandroupolis University General Hospital, Faculty of Medicine, Democritus University of Thrace, 68 100 Alexandroupolis, Thrace
Greece
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0971-9261.186554
We present a 7-year-old boy with recurrent thrombocytopenia after primary laparoscopic splenectomy for immune thrombocytopenia (ITP). Imaging modalities (ultrasound, computed tomography scan, and scintigraphy) revealed two accessory spleens while the subsequent second laparoscopy revealed 11, which were successfully removed. The relevant medical literature is reviewed, and the value of laparoscopy for chronic ITP is highlighted.
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