Failure to detect Plasmodium vivax in West and Central Africa by PCR species typing
Culleton, R.L.; Mita, T.; Ndounga, M.; Unger, H.; Cravo, P.V.L.; Paganotti, G.M.; Takahashi, N.; Kaneko, A.; Eto, H.; Tinto, H.; Karema, C.; D'Alessandro, U.; do Rosário, V.; Kobayakawa, T.; Ntoumi, F.; Carter, R.; Tanabe, K.
Malaria Journal 7: 174
2008
ISSN/ISBN: 1475-2875 PMID: 18783630 DOI: 10.1186/1475-2875-7-174Document Number: 202841
A 15 years old patient was taken to the operative room for an explorative laparotomy due to abdominal pain and a pelvic spleen at preoperative computed tomography: was pointed out the absence of all splenic ligamentous attachments and short gastric vessels with a consequently dislocation of a bigger and congested spleen in the pelvis. This organ, wrapped in the omentum, was in a serious ischemic suffering due to a 720 degrees clock torsion around its exceptionally long pedicle (about 20 cm); besides was confirmed pancreatic body and tail ectopy. Following the derotation, the volume of the organ has decreased but became fixed in above norm dimensions. A total splenectomy was executed.