Michael T Fastiggi, MD, L Katz, MD, Philip George, MD. Mount Sinai Medical Center
Introduction: Splenectomy is usually an effective treatment for medically refractory idiopathic thrombocytopenic purpura. However, some patients develop recurrent thrombocytopenia. At least one third of these cases are attributable to an accessory spleen.
Discussion: In recurrent thrombocytopenia after splenectomy, an accessory spleen should be considered. In this case, we see an example of a removal of an accessory spleen, with a subsequent improvement in platelet counts.
Conclusion: Residual splenectomy can improve platelet counts or decrease dosage of immunosuppressants required in recurrent ITP after initial splenectomy. Minimally invasive techniques can be safe and effective with an experienced surgeon.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94020
Program Number: V075
Presentation Session: Exhibit Hall Theater Video Session III
Presentation Type: EHVideo