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March 1986

Postsplenectomy Pericardial Effusion in Two Patients With Myeloid Metaplasia

Author Affiliations

From the Departments of Hematology (Drs Nagler, Brenner, and Tatarsky) and Surgery (Dr Argov), Rambam Medical Center, Haifa, Israel; and the Faculty of Medicine, Technion-Israel Institute of Technology, Haifa (Dr Tatarsky).

Arch Intern Med. 1986;146(3):600-601. doi:10.1001/archinte.1986.00360150254032

• Self-limited sympathetic pleural effusion is a well-known nonspecific sequela following any upper abdominal surgery, including splenectomy. However, to our knowledge, there is no report in the literature on sympathetic pericardial effusion immediately following splenectomy. We describe two patients with agnogenic myeloid metaplasia and refractory hemolytic anemia in whom pericardial effusion appeared a few days after splenectomy. The possible pathophysiologic mechanism is discussed.

(Arch Intern Med 1986;146:600-601)

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