Friday, February 19, 2010

The biggest spleen I have ever seen!

We had a man present to our hospital with pain and swelling to his abdomen. He had been treated previously for Malaria and was found to have Splenomegally (enlarged spleen), which had to be removed. Spleens do not self-correct, once they become enlarged to this point.

We don't remove that many spleens here, so this was considered a complex case and we had to wait days to get enough of this man's blood to have for transfusion. Since we were taking a large portion of his blood supply, it had to be replaced.


This is our Medical Superintendent of Kilembe Mines Hospital, Dr. Wefula Edward on the left and Dr. Isaac Ojangor on the right.









They have made their incision, inspected the spleen and are planning their attack.












Dr. Edward holds a portion of the spleen, while Dr. Isaac prepares to clamp off vessels.












Dr. Edward pulling the spleen slowly out of the body cavity.












Dr. Isaac clamps off vessels in preparation for removal.




































































Here it is! This spleen weighed 6.54 pounds and spills out over the sides of this large bowl! A normal spleen weighs approximately 8 ounces or less and usually measures 1 inch x 3 inches x 5 inches. I didn't measure this one, but as you can see, two men are holding it and it's much larger than their hands!

The last splenectomy we did was not successful and the patient died later that same day, but this patient did surprisingly well after this surgery and was eventually discharged from the hospital.

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