DTIC ADA212948: Splenectomy in Massive Tropical Splenomegaly pdf

DTIC ADA212948: Splenectomy in Massive Tropical Splenomegaly

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Between 1978 and 1982, 14 patients under went splenectomy for disabling, massive splenomegaly at the Regency Hosp. in Wamena in the highlands of Irian Jaya, Indonesia. All patients were clinically diagnosed as having tropical splenomegaly syndrome (hyper-reactive malarial splenomegaly), but in no case was the diagnosis confirmed. In May 1984 nurses and physicians caring for these 14 patients were asked to fill in a questionnaire regarding the patients’ conditions. Two to 6 years after splenectomy, 8 of the 14 patients were alive and able to work; at least 6 of the 8 at normal or near normal capacity. One patient died 4 days after surgery and 5 died from 2 to 20 months after surgery. We conclude that splenectomy is beneficial for some highly selected patients with the clinical diagnosis of tropical splenomegaly syndrome. Keywords: Splenectomy; Recovery tropical splenomegaly; Indonesia; Reprints

• Creator/s: Defense Technical Information Center
• Date: 6/1/1988
• Year: 1988
• Book Topics/Themes: DTIC Archive, Vriend, Willem H, NAVAL MEDICAL RESEARCH UNIT NO 2 MANILA (PHILIPPINES), *SPLENOMEGALY, *SPLEEN, *EXCISION, SIGNS AND SYMPTOMS, DIAGNOSIS(MEDICINE), TROPICAL REGIONS, PATIENTS, MALARIA, PHYSICIANS, SURGERY, INDONESIA, CLINICAL MEDICINE, CAPACITY(QUANTITY), REPRINTS, RECOVERY

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