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Related Concept Videos

Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
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Aneurysm III: Interprofessional Care01:26

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Hemorrhagic Stroke l: Introduction01:17

Hemorrhagic Stroke l: Introduction

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A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
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Hemorrhagic Stroke ll: Pathophysiology01:29

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A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
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Esophageal Varices-I: Introduction01:24

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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Related Experiment Video

Updated: May 4, 2026

A Mouse Model of Vascularized Heterotopic Spleen Transplantation for Studying Spleen Cell Biology and Transplant Immunity
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Recurrent ruptured spleen.

Jay A Redan1, Francisco R Halili2, Jill S Villarosa2

  • 1Florida Hospital-Celebration Health, Department of Surgery, 400 Celebration Place, Suite A-140, Celebration, FL 34747, USA. jay.redan.md@flhosp.org.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|January 9, 2014
PubMed
Summary
This summary is machine-generated.

Rarely, patients experience hemoperitoneum from ruptured splenotic nodules years after splenectomy. This case highlights a 25-year post-splenectomy rupture requiring surgical intervention for recurrent splenosis.

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Area of Science:

  • Abdominal Surgery
  • Gastroenterology
  • Pathology

Background:

  • Splenectomy is performed for trauma and hematologic disorders like idiopathic thrombocytopenia purpura.
  • Regrowth of splenic tissue (splenosis) can occur after splenectomy.
  • Rupture of splenotic nodules causing hemoperitoneum is exceptionally rare.

Observation:

  • A 43-year-old male presented with hemoperitoneum 25 years post-open splenectomy.
  • The initial splenectomy was for trauma sustained in a motor vehicle accident.
  • The hemoperitoneum was caused by a recurrent ruptured splenotic nodule.

Findings:

  • This case details a rare instance of delayed hemoperitoneum due to splenosis.
  • The rupture occurred 25 years after the initial splenectomy.
  • Surgical intervention was necessary to manage the recurrent ruptured splenotic nodule.

Implications:

  • Clinicians should consider splenosis as a potential cause of delayed abdominal complications, even decades after splenectomy.
  • This case underscores the importance of recognizing splenosis in the differential diagnosis of hemoperitoneum in post-splenectomy patients.
  • Further research into the long-term behavior and management of splenosis may be warranted.