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March 1962

Splenectomy and Cure of ThrombocytopeniaPresent for 62 Years in a Patient with Complete Situs Inversus

Author Affiliations

From the Department of Surgery, University of California School of Medicine, and the Hematology Research Laboratory, Children's Hospital. Aided by National Institutes of Health Grant No. H2754.

Arch Surg. 1962;84(3):344-349. doi:10.1001/archsurg.1962.01300210078016

Only one case of surgical removal of a right-sided spleen has been reported. Harbison, Patton and Moyer1 published the case of a patient with a spontaneously ruptured right-sided spleen in 1954. This patient was thought to have a ruptured appendix, although it was known that he had a thoracic and abdominal situs inversus.

We have recently seen a patient with complete situs inversus who had an elective splenectomy for thrombocytopenic purpura. This case is unusual in that both the thrombocytopenic purpura and the situs inversus were diagnosed in early childhood, but the spleen was not removed until 62 years later. Splenectomy was done at this time only because the patient had a vascular tumor of the bladder which demanded surgical treatment.

Anatomic Review of Situs Inversus  True situs inversus is an anatomic anomaly in which either the abdominal or the thoracic viscera, or both, assume a reversed or mirror

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