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Partial splenectomy in cystic fibrosis patients with hypersplenism
  1. G H Thalhammer1,
  2. E Eber1,
  3. S Uranüs2,
  4. J Pfeifer2,
  5. M S Zach1
  1. 1Respiratory and Allergic Disease Division, Paediatric Department, University of Graz, Austria
  2. 2Department of Surgery, University of Graz
  1. Correspondence to:
    Univ.-Prof. Dr M Zach, Klinische Abteilung für Pulmonologie/Allergologie, Univ.-Klinik für Kinder- und Jugendheilkunde, Auenbruggerplatz 30, A-8036 Graz, Austria;
    maximilian.zach{at}uni-graz.at

Abstract

We report three cystic fibrosis (CF) patients with hypersplenism who underwent partial splenectomy. The postoperative course was uneventful in two patients; one patient developed a complication necessitating resection of the rest of the spleen. Haematological parameters improved and oesophageal varices regressed in all patients. On follow up, one patient showed a normal spleen, the other a normally functioning accessory spleen; the third patient again developed splenomegaly with hypersplenism. Partial splenectomy is a promising therapeutic option for CF patients with hypersplenism.

  • cystic fibrosis
  • partial splenectomy
  • portal hypertension
  • splenomegaly

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