Traumatic splenectomy in a cirrhotic patient with hepatitis C and alcoholic liver disease (Record no. 76070)

MARC details
000 -LEADER
fixed length control field 01559cam a2200205 4500
001 - CONTROL NUMBER
control field NMDX7067
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 120401t2012 xxu||||| |||| 00| 0 eng d
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Matar, H.E.
240 ## - UNIFORM TITLE
Uniform title <a href="BMJ Case Reports">BMJ Case Reports</a>
245 ## - TITLE STATEMENT
Title Traumatic splenectomy in a cirrhotic patient with hepatitis C and alcoholic liver disease
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Date of publication, distribution, etc. 2012
500 ## - GENERAL NOTE
General note NMUH Staff Publications
520 ## - SUMMARY, ETC.
Summary, etc. &lt;span style="font-size: 10pt;"&gt;Non-operative management is the management of choice for haemodynamically stable patients with blunt splenic injury. However, coexistent liver cirrhosis poses significant challenges as it leads to portal hypertension and coagulopathy. A 52-year-old man sustained blunt abdominal trauma causing low-grade splenic injury. However, he was found to have liver cirrhosis causing haemodynamic instability requiring emergency laparotomy. His portal hypertension led to severe bleeding only controlled by aortic pressure and subsequent splenectomy. Mortality from emergency surgery in cirrhotic patients is extremely high. Despite aggressive resuscitation, they may soon become haemodynamically unstable. Therefore, traumatic splenectomy may be inevitable in such patients with portal hypertension and splenomegaly secondary to liver cirrhosis even in low-grade injury.&lt;/span&gt;
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Elmetwally, A.S.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Nair, MS.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Borgstein, R.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Oluwajobi, O.
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://www.ncbi.nlm.nih.gov/pubmed/22665581">https://www.ncbi.nlm.nih.gov/pubmed/22665581</a>
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4542979/pdf/bcr.07.2011.4478.pdf">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4542979/pdf/bcr.07.2011.4478.pdf</a>
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection code Home library Current library Shelving location Date acquired Total Checkouts Date last seen Price effective from Koha item type
        Staff publications for NMDX Ferriman information and Library Service (North Middlesex) Ferriman information and Library Service (North Middlesex) Shelves 07/06/2022   07/06/2022 07/06/2022 Book
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