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Complicaciones posteriores a la esplenectomía

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Esplenectomía - síndrome posoperatorio; Síndrome de sepsis grave postesplenectomía; SSPE; Esplenectomía - trombocitosis reactiva

Definición

Las complicaciones posteriores a la esplenectomía pueden presentarse después de la cirugía para extirpar el bazo, especialmente justo después de esta. Las complicaciones pueden incluir:

Coágulos sanguíneos
Destrucción de glóbulos rojos
Aumento del riesgo para infecciones graves, como por ciertas bacterias como el Streptococcus pneumoniae y Neisseria meningitidis
Trombocitosis (aumento del conteo de plaquetas, lo cual puede causar coágulos sanguíneos)
Aumento de los conteos de glóbulos blancos y glóbulos rojos

Posibles complicaciones

Los posibles problemas médicos a largo plazo incluyen:

Endurecimiento de las arterias (ateroesclerosis)
Hipertensión pulmonar (una enfermedad que afecta los vasos sanguíneos en los pulmones)

Referencias

Nassar AK, Hawn M. The spleen. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. St Louis, MO: Elsevier; 2022:chap 57.

Ollila TA, Zayac AS, Schiffman FJ. The spleen and its disorders. In: Hoffman R, Benz EJ, Silberstein LE, Heslop HE, Weitz JI, Salama ME, et al, eds. Hematology: Basic Principles and Practice. 8th ed. Philadelphia, PA: Elsevier; 2023:chap 156.

Shah AA, Zuberi MK, Cornwell EE. Injured spleen. In: Cameron AM, Cameron JL, eds. Current Surgical Therapy. 14th ed. Philadelphia, PA: Elsevier; 2023:1320-1326.

Programe una cita

Actualizado : 2/2/2023

Versión en inglés revisada por : Mark Levin, MD, Hematologist and Oncologist, Monsey, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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