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「surgical removal of the spleen」

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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2012/05/12 15:02:39」(JST)

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  • A case report of bacteremia manifesting as an overwhelming postsplenectomy infection due to Streptococcus pneumoniae post vaccination.
  • Hirose K1, Okabe H1,2, Yoshizumi T3, Uchiyama H1, Ikegami T1, Harimoto N1, Itoh S1, Kimura K1, Baba H2, Maehara Y1.
  • Surgical case reports.Surg Case Rep.2016 Dec;2(1):48. doi: 10.1186/s40792-016-0173-2. Epub 2016 May 25.
  • A 62-year-old woman was admitted for acute epigastralgia and high-grade fever of over 39 °C. The patient had undergone splenectomy for idiopathic portal hypertension 1 year ago and vaccination against Streptococcus pneumoniae immediately post operation. She developed localized peritoneal irritati
  • PMID 27221131
  • A case of splenic metastasis of ovarian cancer treated with complete laparoscopic splenectomy and transvaginal specimen extraction.
  • Takase Y1,2, Tomizawa N3,4, Enokida Y1,2, Shiraishi T1, Katoh R1,2, Suto Y1,2, Sato H1,2, Muroya K1,2, Kurosaki R1,2, Kobayashi K1,2, Arakawa K1,2, Ando T1,2, Takesyohi I2.
  • Surgical case reports.Surg Case Rep.2016 Dec;2(1):26. doi: 10.1186/s40792-016-0150-9. Epub 2016 Mar 14.
  • A 61-year-old woman was diagnosed with right inguinal lymph node and splenic metastasis of ovarian serous cystadenocarcinoma. We performed right inguinal lymph node dissection and total laparoscopic splenectomy in the supine position followed by transvaginal specimen extraction (TVSE). First, using
  • PMID 26976616
  • Splenic Pregnancy: A New Minimally Invasive Approach to Treatment.
  • Klang E1, Keddel N2, Inbar Y2, Rimon U2, Amitai M2.
  • Cardiovascular and interventional radiology.Cardiovasc Intervent Radiol.2016 Sep;39(9):1339-42. doi: 10.1007/s00270-016-1403-5. Epub 2016 Jun 29.
  • The spleen is a rare site of abdominal ectopic pregnancy. In a review of the literature, we found 16 published cases of primary splenic pregnancies. Of the cases identified, all received surgical intervention, with one case successfully treated with laparoscopic methotrexate injection, and the rest
  • PMID 27358040


  • がんの最新治療 各論(11)卵巣がんの治療
  • 野村 秀高,松井 英雄
  • 東京女子医科大学雑誌 83(5), 328-333, 2013-10-25
  • … Recently, primary and interval debulking surgeries for pelvic and paraaortic lymphadenectomy, bowel resection, splenectomy and resection of peritoneum and diaphragm are performed in patients with advanced stage. …
  • NAID 110009631870
  • 臨床編 各種デバイスを応用した脾手術 (特集 各種デバイスを応用した私の手術 : 使用法と工夫)
  • 症例報告 迅速な治療開始で劇症化を防いだ脾摘後遺伝性球状赤血球症の1例
  • 大木 庸子,七野 浩之,谷ヶ崎 博 [他]
  • 日大医学雑誌 = Journal of Nihon University Medical Association 72(4), 236-239, 2013-08
  • NAID 40019798612


A splenectomy is a surgical procedure that partially or completely removes the spleen. Contents. 1 Indications; 2 Procedure; 3 Side effects; 4 Partial splenectomy; 5 See also; 6 References. [edit] Indications. The spleen, similar in structure to a ...
Splenectomy — Overview covers definition, risks and results of this surgery to remove the spleen.



リンク元Streptococcus pneumoniae

Streptococcus pneumoniae」


Streptococcus pneumoniae
  • first aid step1 2006 p.134,138


  • グラム陽性球菌
  • 西洋槍(ランセット)型の双球菌
  • α溶血性。ランスフィールド分類には分類されない
  • オプトヒン感受性
  • 自己融解 autolysis ← 培養しすぎに注意
  • 中心部の陥凹した集落
  • 莢膜多糖体を有する ← 抗食菌作用(C3bの付着に抵抗する)
  • IgA proteaseを分泌
  • 健常人の5-250%の気道に存在するが莢膜がない弱毒の株


  • 慢性気道感染症の急性増悪


  • 2歳以下の乳幼児や老人で重症化しやすい
  • 脾臓を受けた患者、急性骨髄性白血病、骨髄移植、HIV感染症で発症しやすい

most common cause of:

MOPS are Most OPtochin Sensitive


  • 臨床像から疑い、胸部X線、喀痰のグラム染色、尿中抗原を行う。グラム染色と尿中抗原が陽性であれば特異的な治療を開始する。 (IRE.1010)
  • (経験的治療の前に?)診断及び感受性検査のために喀痰培養、血液培養検査を行う。


  • 光顕像


  • Q book p.192 29