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World J Hepatol. 2010 Jun 27;2(6):243-5. doi: 10.4254/wjh.v2.i6.243.

Spontaneous splenic rupture during Pringle maneuver in liver surgery.

Author information

  • 1Jesse M van Buijtenen, Department of Surgery, Westfriesgasthuis, PO Box 600, AR Hoorn Hoorn 1620, The Netherlands.

Abstract

During liver resection clamping of the hepato-duodenal ligament (the Pringle maneuver) is performed to reduce intraoperative blood-loss. During this maneuver acute portal hypertension may lead to spontaneous splenic rupture requiring rapid splenectomy in order to control blood loss. We present 2 case of patients with hemorrhage from the spleen during clamping for liver surgery. A review of the literature with an emphasis on the pathophysiology of splenic hemorrhage is presented.

KEYWORDS:

Liver surgery; Pringle maneuver; Rupture; Spleen

PMID:
21161004
[PubMed]
PMCID:
PMC2999285
Free PMC Article

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