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Accessory splenectomy in the management of recurrent immune thrombocytopenic purpura



Accessory splenectomy in the management of recurrent immune thrombocytopenic purpura



American Surgeon 64(11): 1077-1078



Although splenectomy for chronic immune thrombocytopenic purpura (ITP) is successful in the majority of patients, recurrence of thrombocytopenia may occur in association with a functional accessory spleen, sometimes years after operation. Identification and resection of the accessory spleen under these circumstances may result in a sustained remission. We describe a case of recurrent thrombocytopenia associated with an accessory spleen occurring 5 years after splenectomy in a young woman with chronic immune thrombocytopenic purpura. Accessory splenectomy was successful in producing a sustained remission.

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Accession: 045147053

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PMID: 9798773


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