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Updated: Jul 13, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
Leukocytosis caused by tropical splenomegaly during cardiopulmonary bypass
Prabhat Tewari1, Pramod Mittal, Shiv B Singh
1Department of Anaesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India. ptewari123@yahoo.co.in
Abstract:
We describe two patients undergoing cardiac surgery under cardiopulmonary bypass with concomitant enlarged tropical spleen. Volume overload and leukocytosis occurred during pump management. In the first patient this resulted in acute lung injury, but in the second case methods to reduce the impact of leukocytosis were taken, resulting in a normal postoperative course.
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