Post splenic embolization

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  Need to contact you regarding your web site.

  H. Butler M.D., FACS

> Yep, I've seen it.  Usually not to this degree and usually resolves in
> days but yes, I have seen some very intense reactions.
>
> Errington C. Thompson, MD, FACS, FCCM
> Trauma/Surgical Critical Care
> Mission Hospital
> Asheville, NC
> Author - A Letter to America
> www.whereistheoutrage.net
>
>  
> Everyone deserves to make an informed decision
>                                 - Errington Thompson, MD
>
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of John E. Sutton Jr.
> Sent: Saturday, January 27, 2007 8:38 AM
> To: trauma-list at trauma.org
> Subject: Re:Post splenic embolization
>
> Has anyone had experience with post splenic embolization pain ? (does it
> exist?)
>
> I was asked to see a pt. who was injured 3 years ago  after being
> assaulted with a cast iron frying pan by his brother. He apparently
> suffered some type of splenic injury ( I don't have those films) that
> was treated with splenic artery embolization. A week later he returned
> to the hospital with increased symptoms of pain and lower hemoglobin and
> was taken to the OR for
> splenectomy but the surgeon changed his mind and apparently just drained
> a subcapsular collection  and "inflammatory debris"and put in a left
> chest tube for a sympathetic pleural effusion.
>
> Since that time he has had incapacitating pain that has made him
> disabled and has been refractory to a variety of pain management
> techniques. He has had two CT scans since then which report " perfusion
> of the spleen with a persistent lateral defect at the site of the
> presumed old injury" ( again, I have reports but am awaiting the actual
> films for review).
>
> The patient seems like a pretty straight shooter and has tried pain
> management therapies, counseling, etc. all to no avail.
> Would he benefit from splenectomy? Anyone seen similar cases?
>
> Thanks
> JES
>
> John E. Sutton, Jr., M.D. , F.A.C.S
> Professor of Surgery,  Dartmouth Medical School
> Division Chief, Trauma and Acute Surgical Care
> Director of Trauma Services DHMC
> phone: 603-650-8022
> fax :     603-650-8030
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