This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (109)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Review of Literature and Report of an Additional Case

John P. Sutton, MD; Dabney Y. Yarborough, MD; James T. Richards, MD

AMA Arch Surg. 1970;100(5):623-626.

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

In 1866, Gretsel described a syndrome consisting of primary splenomegaly, secondary anemia, and chronicity. Griessinger termed this splenic anemia.¹

In 1894, Banti isolated his syndrome from this broad entity.¹ Banti defined three clinical features: (1) a period lasting from three to five years and characterized by splenomegaly and anemia; (2) a short period characterized by hepatomegaly and oliguria; and (3) a final period lasting one to two years and characterized by ascites and a small liver. He also noted that the syndrome was frequently associated with hemorrhages from the mouth and bowel, an icteric skin hue (without true icterus), and a secondary anemia distinguished by leukopenia and relative lymphocytosis.

Pathologically, Banti noted that this entity demonstrated (1) endophlebitis and calcification of the splenic vein; (2) splenic reticular fibrosis with narrowing of the splenic vein and capsular thickening; (3) presence of cirrhosis of the liver; and (4) finding of . . . [Full Text PDF of this Article]

Author Affiliations
Charleston, SC

From the Department of Surgery, Medical College of South Carolina, and Charleston Veterans Administration Hospital, Charleston, SC. Dr. Sutton is now at the Vanderbilt University School of Medicine and the Veterans Administration Hospital, Nashville, Tenn.

Footnotes
Accepted for publication Jan 20, 1970.

Reprint requests to Department of Surgery, Vanderbilt University School of Medicine, Nashville, Tenn 37203 (Dr. Sutton).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?