Spleen, Surgery FAQ

Managing Splenic Hemorrhage in Elderly Patients with Kidney Disease

Splenic hemorrhage Hello Dr. Ke, The patient is a 65-year-old individual with a history of long-term dialysis. Two months ago, they experienced dizziness and were injured by a motorcycle. The following day, they were diagnosed with a minor left-sided rib fracture (fourth rib) b...

Dr. Ke Fangxu Reply:
It is generally expected that if an injury occurred two months ago, splenic hemorrhage should not manifest at this time. Patients undergoing dialysis typically present with hemoglobin and oxygen saturation levels below normal. If hemoglobin levels have not continued to decline, i...

Understanding Splenic Cysts: Surgical Options and Diagnostic Challenges

Spleen cyst Hello doctor, my current cyst measures 6.5 x 7.2 cm. I have visited many hospitals and undergone three ultrasounds and one CT scan, but no doctor has given me a definitive answer until recently when I went to National Taiwan University Hospital. Today, the doctor sugg...

Dr. Zai Yunsheng Reply:
Dear Patient: Due to the nature of your personal information, it is difficult to provide specific advice. However, from your letter, I feel that no amount of additional testing will lead to a definitive diagnosis, and surgery may be the only option. The surgical approach would pr...

Understanding Peritonitis: Causes, Complications, and Treatment Options

Peritonitis Doctor: Hello, my wife developed peritonitis 33 years ago due to surgery. She did not undergo surgery for retroperitoneal inflammation due to the severity of her condition; instead, a funnel was placed in her lower abdomen to allow pus from the peritoneal cavity to dr...

Dr. Xu Kaixi Reply:
Based on your description, the systemic inflammatory response (including the splenic inflammation you mentioned) is caused by peritonitis. The primary treatment typically involves antibiotics, and if there is an intra-abdominal abscess, percutaneous drainage or surgical drainage ...

Understanding Colonic Health: Is Black Tissue in the Colon Dead?

Could you please provide more details about the issues related to colorectal cancer? Dear Doctor, if a segment of the colon was removed due to colitis and the surgeon showed me a dark area inside the resected colon, stating it was an intestinal infarction due to poor blood circul...

Dr. Ke Fangxu Reply:
Hello: In response to your question, since surgery has already been performed to remove the affected tissue, discussing the necessity of the removal at this point is no longer meaningful. The initial surgery must have had its reasons. If the reason was ischemic necrosis of the co...

Understanding the Causes of Enlarged Spleen: A Surgical Perspective

excuse me? What are the causes of splenomegaly?

Dr. Zhang Jinlong Reply:
Hello: The causes of splenomegaly include: (1) Infection (leading to lymphocytic hyperplasia): such as viruses, bacteria, fungi, and parasites. (2) Inflammatory conditions (leading to lymphocytic hyperplasia): such as rheumatoid arthritis, systemic lupus erythematosus, etc. (3) T...

Understanding the Risks of Splenic Injury During Colon Surgery

Questions about surgery? If during a colorectal surgery the surgeon accidentally cuts the spleen, would the removal of the spleen cause significant bleeding? Because the patient had a stroke immediately after the surgery.

Dr. Ke Fangxu Reply:
Hello: During left colon surgery, the spleen may sometimes be inadvertently injured. In most cases, repair is sufficient; however, if the damage is extensive, splenectomy may be necessary. Significant bleeding is usually not a result of splenectomy but rather the underlying cause...

Concerns About Surgery for Colon Cancer: Risks and Complications

Could you please provide more details about your questions regarding surgical issues? 1. If a patient undergoes surgery for colorectal cancer and does not have a colostomy during the first operation, and then experiences a leak requiring a second surgery, is there a possibility t...

Dr. Hou Yongji Reply:
According to your description, it pertains to surgical-related details. Unless the surgical physician is present in the situation, it is not possible to make hypothetical assumptions. Therefore, please discuss this in detail with the attending surgeon. Thank you, Dr. Hou Yong-ji.

Understanding Splenic Cysts: Monitoring, Risks, and Treatment Options

Spleen cyst Doctor He, two years ago during a health check-up at a renowned facility in Harvard, an abdominal ultrasound revealed a 1 cm cyst on my spleen. The examining physician mentioned that it was nothing to worry about and attributed it to my constitution, advising regular ...

Dr. He Zhenming Reply:
Spleen cysts are mostly benign and should be monitored regularly.

Causes of Splenic Bleeding After Colorectal Surgery: Expert Insights

Colorectal surgery Hello, doctor: My elder had surgery for colon cancer but experienced splenic bleeding. What are the possible causes of splenic bleeding? Please provide an analysis. Thank you.

Dr. Hou Yongji Reply:
The spleen is one of the most vulnerable organs within the abdominal cavity, and it is typically the most common organ to sustain injury resulting in internal bleeding, particularly from a splenic rupture. Regarding the bleeding from the spleen during colorectal cancer surgery, i...

Post-Operative Concerns After Intestinal Intussusception Surgery

Postoperative issues following intussusception surgery? Hello, I would like to ask a question for a friend. She is a 21-year-old girl who underwent surgery for intussusception abroad. After the surgery, her abdomen sometimes feels distended, and she has a sensation of air trapped...

Dr. Hou Yongji Reply:
The recovery situation after surgery depends on the surgical method and the patient's condition. Therefore, it is not possible to determine the diagnosis and treatment solely based on the medical history. It is recommended to discuss in detail with the attending surgeon for ...

Exploring Alternatives to Gallbladder and Spleen Removal in Cancer Surgery

Emergency... Emergency... Emergency... Inquiry about recent surgical matters regarding [Grandma]? My grandmother is about 70 years old and has recently been diagnosed with gastric adenocarcinoma. There is a 5 cm tumor in her stomach. The doctor has explained that they plan to rem...

Dr. Huang Zhihui Reply:
Based on your description, I suspect she may have a higher stage of the disease, which necessitates a total gastrectomy. Since total gastrectomy can affect the physiological structural changes of surrounding organs, it may sometimes be necessary to remove the gallbladder and sple...

Post-Splenectomy Care: Boosting Immunity and Digestive Health Tips

Post-splenectomy care considerations? Hello, Doctor He: I suffered a severe internal hemorrhage in a car accident in December 2004, and during the emergency treatment, my spleen was removed. Since the spleen is the largest organ of the immune system in the body, I would like to a...

Dr. He Zhenming Reply:
In adults, the removal of the spleen does not significantly impact immune function. Post-surgery, if adhesions occur but do not cause abdominal pain, there is typically no effect on the digestive system.

Understanding Post-Surgery Abdominal Distension: Causes and Solutions

Distressing abdominal bloating issue? Hello, Dr. Lin. A year ago, I underwent surgery for intestinal volvulus due to severe abdominal pain (there was no visible bloating). After the surgery, the doctor informed me that the cause was volvulus, and my mother, who was in the operati...

Dr. Lin Hongmao Reply:
Hello: The following information is extracted from the website of the Department of Colorectal Surgery at Tri-Service General Hospital, and it is quite detailed for your reference: Volvulus refers to the twisting of an organ around its axis, which can occur in the stomach, spleen...

Understanding Enlarged Spleen Tail: Symptoms, Diagnosis, and Treatment Options

The tail of the spleen is slightly enlarged? My husband went to the hospital for an ultrasound and found that the tail of his spleen seems to be enlarged, and he sometimes experiences pain in the upper abdomen. What treatment options are available? He also had blood tests done, b...

Dr. Niu Zhenyuan Reply:
1. Location and Function of the Pancreas The pancreas, commonly referred to as the "waist stick," is located in the upper abdomen (attached to the posterior abdominal wall) and is near the stomach, duodenum, liver, and gallbladder. The common bile duct passes through ...

Understanding Stomach Cancer: Progression, Diagnosis, and Treatment Insights

About gastric cancer? Regarding stomach cancer: Is it possible for stomach cancer to progress from stage 0 to stage IV (terminal stage) in just three months? Additionally, if a gastroscopy is performed, will the doctor also conduct a biopsy? If an ulcer is present, can it be diag...

Dr. Niu Zhenyuan Reply:
Gastric cancer cells originate from the mucosal tissue. If the cancer is confined to the epithelial layer without distant organ metastasis or lymph node involvement, it is classified as early or superficial cancer. If the cancer cells have invaded the muscular layer of the stomac...

Understanding Sciatica: Causes, Symptoms, and Treatment Options

Lower back pain? Hello, I apologize for taking your time. I would like to ask you about a sudden onset of lower back pain I experienced a few days ago. Initially, it was just a simple ache in my lower back, but the next day I began to feel discomfort behind my knees, and later, t...

Dr. Xiao Furen Reply:
Sciatica is essentially a symptom that relies on clinical diagnosis. As for whether the cause is a herniated disc, it is certainly a possibility. The diagnostic tools commonly used are computed tomography (CT) or magnetic resonance imaging (MRI). It is also possible for sciatica ...

Understanding Calcifications in the Spleen: Causes and Concerns

There are calcifications in the spleen? Hello, Doctor He! I recently had an abdominal ultrasound examination. The results showed that I have fatty liver and there are two calcifications on my spleen. Could you please explain why this is happening? Could it be a tumor?

Dr. He Zhenming Reply:
Fatty liver is a common issue and typically does not have a significant impact on health. The calcified spots on the spleen are likely not tumors. If you are concerned, you may consider further evaluation with a computed tomography (CT) scan.

Understanding the Spleen's Function and Effects of Splenectomy After an Accident

What is the function of the spleen? What are the effects on the body after splenectomy following a car accident? What is the function of the spleen? What are the effects on the body after splenectomy due to a car accident?

Dr. Lin Kecheng Reply:
The spleen has several functions: 1. During embryonic development, it serves as a hematopoietic organ for red blood cells. 2. It has a filtering function; normal red blood cells pass through the spleen unchanged, while abnormal or aging cells are retained and destroyed. 3. The sp...

Understanding the Spleen's Functions and Effects of Spleen Removal After Trauma

What is the function of the spleen? What are the effects on the body after splenectomy following a car accident? What are the functions of the spleen? What effects does splenectomy have on the body after a car accident?

Dr. Hou Yongcheng Reply:
1. The spleen is the largest lymphatic organ in the human body, located in the upper left quadrant of the abdomen, beneath the diaphragm, and is a purplish-red organ. 2. Surrounding the spleen are several ligaments, such as the gastrosplenic ligament and the splenorenal ligament...

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