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David W. McFadden, MD
Morgantown, WVa

Arch Surg. 2002;137:68.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In this study, Carr et al have made a small but significant contribution to the literature of diseases of the spleen and their surgical management. Over a 7 year period, 86 consecutive patients with symptomatic splenomegaly were referred to the busy general surgical service of a large urban medical center. Of these patients, 18 (21%), or roughly 2 patients per year, had splenomegaly of unknown etiology, and they are the subject of this review. Two thirds of these patients had palpable spleens. All 18 patients had negative preoperative evaluations, including computed tomography or magnetic resonance imaging, bone marrow biopsies, and serum testing, and all were treated by open splenectomy. There were no operative deaths and minimal (22%) morbidity. The final pathological diagnoses in the 18 patients included: sarcoidosis (n = 4), benign hypersplenism (n = 6), Castleman disease (n = 1), and lymphoma (n = 7, . . . [Full Text of this Article]

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Surgical Indications in Idiopathic Splenomegaly
John Alfred Carr, Muhammad Shurafa, and Vic Velanovich
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