CASE REPORT article
Front. Pediatr.
Sec. Pediatric Surgery
Volume 13 - 2025 | doi: 10.3389/fped.2025.1572397
This article is part of the Research TopicPediatric Wounds And Tissue Engineering/RegenerationView all 3 articles
Post-Splenectomy Accessory Spleen Hyperfunction in Children with Hereditary Spherocytosis: A Rare Case Report and Literature Review
Provisionally accepted- Department of Pediatric Surgery, Anhui Provincial Children’s Hospital, Hefei, China
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Abstract Objective: To enhance the understanding of splenectomy in children with hereditary spherocytosis, specifically focusing on the preservation of accessory spleens or partial splenectomy.Methods: A retrospective review of clinical data and surgical methods of a child with hereditary spherocytosis who underwent surgery for accessory spleen hyperfunction 7 years after splenectomy at the General Surgery Department of Anhui Provincial Children's Hospital, along with a literature review.Results:The child successfully underwent single-port plus one laparoscopic accessory spleenectomy. The surgery lasted 195 minutes, with an estimated blood loss of 600 ml. The postoperative hospital stay was 8 days, and at 6 months of follow-up, there were no complications such as bleeding, wound infection, thrombosis, or adhesive intestinal obstruction.Conclusion: For children with hereditary spherocytosis, the decision to preserve the spleen or accessory spleens during surgical treatment offers important reference value.
Keywords: Hereditary spherocytosis, Splenectomy, Accessory spleen, Children Hereditary spherocytosis, Children
Received: 07 Feb 2025; Accepted: 29 Apr 2025.
Copyright: © 2025 He and Qi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Yuan-fei He, Department of Pediatric Surgery, Anhui Provincial Children’s Hospital, Hefei, China
Shi-qin Qi, Department of Pediatric Surgery, Anhui Provincial Children’s Hospital, Hefei, China
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