Traumatic splenectomy in a cirrhotic patient with hepatitis C and alcoholic liver disease (Record no. 76070)
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000 -LEADER | |
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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. | <span style="font-size: 10pt;">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.</span> |
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> |
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 |
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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 |