Post-splenectomy accessory spleen hyperfunction in children with hereditary spherocytosis: a rare case report and literature review.

IF 2.1 3区医学 Q2 PEDIATRICS

Frontiers in Pediatrics Pub Date : 2025-05-26 eCollection Date: 2025-01-01 DOI:10.3389/fped.2025.1572397

Yuan-Fei He, Shi-Qin Qi, Jian Bian, Cheng-Xiao Zhou, Pei Zhang

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引用次数: 0

Abstract

Objective: To enhance the understanding of splenectomy in children with hereditary spherocytosis, specifically focusing on the preservation of accessory spleens or partial splenectomy.

Methods: A retrospective review of clinical data and surgical methods of a child with hereditary spherocytosis who underwent surgery for accessory spleen hyperfunction 7 years after splenectomy at the General Surgery Department of Anhui Provincial Children's Hospital, along with a literature review.

Results: The child successfully underwent single-port plus one laparoscopic accessory spleenectomy. The surgery lasted 195 min, with an estimated blood loss of 600 ml. The postoperative hospital stay was 8 days, and at 6 months of follow-up, there were no complications such as bleeding, wound infection, thrombosis, or adhesive intestinal obstruction.

Conclusion: For children with hereditary spherocytosis, the decision to preserve the spleen or accessory spleens during surgical treatment offers important reference value.

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遗传性球形红细胞增多症患儿脾切除术后副脾功能亢进一例罕见报告并文献复习。

目的：提高对遗传性球形红细胞增多症患儿脾切除术的认识，特别是保留副脾或部分脾切除术。方法：回顾性分析安徽省儿童医院普外科1例遗传性球形红细胞增多症患儿脾切除术后7年行副脾功能亢进手术的临床资料和手术方法，并结合文献复习。结果：患儿成功行单孔加一次腹腔镜副脾切除术。手术持续了195分钟，估计失血量为600毫升。术后住院8天，随访6个月，无出血、伤口感染、血栓形成、粘连性肠梗阻等并发症发生。结论：对于遗传性球形红细胞增多症患儿，在手术治疗中选择保留脾或副脾具有重要的参考价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Pediatrics Medicine-Pediatrics, Perinatology and Child Health

CiteScore

3.60

自引率

7.70%

发文量

2132

审稿时长

14 weeks

期刊介绍： Frontiers in Pediatrics (Impact Factor 2.33) publishes rigorously peer-reviewed research broadly across the field, from basic to clinical research that meets ongoing challenges in pediatric patient care and child health. Field Chief Editors Arjan Te Pas at Leiden University and Michael L. Moritz at the Children''s Hospital of Pittsburgh are supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Pediatrics also features Research Topics, Frontiers special theme-focused issues managed by Guest Associate Editors, addressing important areas in pediatrics. In this fashion, Frontiers serves as an outlet to publish the broadest aspects of pediatrics in both basic and clinical research, including high-quality reviews, case reports, editorials and commentaries related to all aspects of pediatrics.