Splenic injury following diaphragmatic plication: an avoidable life-threatening complication
Samir Pathak 1
Richard D. Page 1*
1 Liverpool Heart and Chest Hospital, UK
* To whom correspondence should be addressed. E-mail: richard.page{at}lhch.nhs.uk.
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Abstract |
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We report an unusual complication of left-sided diaphragmatic plication, namely bleeding from the spleen due to tearing of adhesions between the spleen and the abdominal aspect of the diaphragm. We believe that making a small incision in the diaphragm prior to the plication to identify and divide the adhesions could have prevented the complication, and that this manoeuvre should be a standard part of the operation. Keywords: Diaphragm; Paralysis; Plication
