Failure of splenic implants to protect against fatal postsplenectomy infection.

摘要: Overwhelming postsplenectomy infection is not a phenomenon confined to children. In all age groups, splenic trauma that requires surgery should be managed by splenorrhaphy if possible. Autoimplantation of fragments into omental pockets has been performed in the few patients we have seen who required splenectomy. A case presented which these small implants failed protect 61 year old woman from development fatal pneumococcal sepsis. The patient had received vaccination, and her shown activity on radionuclide scanning. Concerns about critical mass, blood supply implant, hepatic function require further study before this technique can considered efficacious.