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Torsion of spleen and portal hypertension: Pathophysiology and clinical implications

World Journal of Hepatology 2021年第7期13卷 774-780页

作者： Ashish Kumar jha sameer Bhagwat Vishwa Mohan Dayal Arya Suchismita Department of Gastroenterology Indira Gandhi Institute of Medical SciencesPatna 800014India Department of Paediatric Hepatology Institute of Liver and Biliary SciencesDelhi 110070India

The displacement of spleen from its normal location to other places is known as wandering spleen(WS)and is a rare *** repeated torsion of WS is due to the presence of long pedicle and absence/laxity of anchoring ligaments.A WS is an extremely rare cause of left-sided portal hypertension(PHT)and severe gastric variceal ***-sided PHT usually occurs as a result of splenic vein occlusion caused by splenic torsion,extrinsic compression of the splenic pedicle by enlarged spleen,and splenic vein *** is a paucity of data on WSrelated PHT,and these data are mostly in the form of case *** this review,we have analyzed the data of 20 reported cases of WS-related *** mechanisms of pathogenesis,clinico-demographic profile,and clinical implications are described in this *** majority of patients were diagnosed in the second to third decade of life(mean age:26 years),with a strong female preponderance(M:F=1:9).Eleven of the 20 WS patients with left-sided PHT presented with abdominal pain and *** 6 of the 11 patients,varices were detected incidentally on preoperative imaging studies or discovered ***,pre-operative search for varices is required in patients with splenic torsion.

关键词： Wandering spleen Splenic torsion Left-sided portal hypertension Gastric variceal bleeding Splenectomy

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Late endocarditis of Amplatzer atrial septal occluder device in a child

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World Journal of Cardiology 2015年第10期7卷 703-706页

作者： Neerod K jha Laszlo Kiraly John SK Murala Csaba Tamas Haitham Talo Hazem El Badaoui Magdi Tofeig Malaika Mendonca sameer Sajwani Mary A Thomas Sura Ahmed Al Doory Mohammad D Khan Department of Pediatric Cardiac Surgery Sheikh Khalifa Medical City (managed by Cleveland Clinic) Department of Pediatric Cardiology Sheikh Khalifa Medical City (managed by Cleveland Clinic) Department of Critical Care Sheikh Khalifa Medical City (managed by Cleveland Clinic) Department of Cardiology Latifa Hospital Department of Pathology Sheikh Khalifa Medical City (managed by Cleveland Clinic)

Bacterial endocarditis following atrial septal defect closure using Amplatzer device in a child is extremely rare. We report a 10-year-old girl who developed late bacterial endocarditis, 6 years after placement of an Amplatzer atrial septal occluder device. Successful explantation of the device and repair of the resultant septal defect was carried out using a homograft patch. The rare occurrence of this entity prompted us to highlight the importance of a closed long-term follow up, review the management and explore preventive strategies for similar patients who have multiple co-morbidities and a cardiac device. A high index of suspicion is warranted particularly in pediatric patients.

关键词： Endocarditis Atrial Septal Device

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