Spleen: Disorders

The spleen has a number of functions that are important in the immunological function of the body, and absence of the spleen poses a risk for serious and often fatal infections. This risk can be reduced by deferring splenectomy when possible and by the use of pneumococcal immunizations and prophylactic antibiotics.

Keywords: splenectomy; immunity overwhelming post splenectomy; OPSI

 References
    Craddock CG, Longmire R and McMillan R (1971) Lymphocytes and the immune function. New England Journal of Medicine 285: 378–384.
    Crosby WH (1959) Normal functions of the spleen relative to the red blood cells. Blood 14: 399–408.
    Eraklis AJ, Kevy S, Diamond LK and Gross RE (1967) Overwhelming infections after splenectomy. New England Journal of Medicine 276: 1225–1229.
    Falletta JM, Woods GM and Verter J (1995) Discontinuing penicillin prophylaxis in children with sickle cell anemia. Journal of Pediatrics 127: 685–690.
    Feder HM and Pearson HA (1999) Assessment of splenic function in familial asplenia. New England Journal of Medicine 341: 210–211.
    Horan M and Colebatch JH (1962) Relationship between splenectomy and subsequent infections. Archives of Disease in Childhood 97: 398–402.
    Ivemark BI (1955) Implications of agenesis of the spleen on the pathogenesis of the conotruncus anomalies in childhood. Acta Paediatrica 44: (supplement 104): 1–110.
    King H and Shumacker HB Jr (1952) Splenic studies. 1. Susceptibility to infections after splenectomy in infancy. Annals of Surgery 136: 239–248.
    Micelli AB (1994) Splenogonadal fusion; a rare cause of a scrotal mass. British Journal of Urology 74: 250.
    Pearson HA, Spencer RP and Cornelius EA (1969) Functional asplenia in sickle cell anemia. New England Journal of Medicine 281: 923–926.
    Pearson HA, Johnston D, Smith KA and Touloukian RJ (1978) The born-again spleen; return of splenic function after splenectomy for trauma. New England Journal of Medicine 298: 1389–1392.
    Roberts CWM, Shutter JR and Korsmeyer SJ (1994) Hox11 controls the genesis of the spleen. Nature 368: 1451.
    Robinson RI, Bullen AW, Hall R et al. (1980) Splenic size and functions in adult coeliac disease. British Journal of Radiology 52: 532–537.
    Singer DB (1973) Post splenectomy sepsis. Pediatric Pathology 1: 285–312.
    book Spencer RP and Pearson HA (1975) Radionuclide Studies of the Spleen. Cleveland: CRC Press.
    Touloukian RJ (1985) Splenic preservation in children. World Journal of Surgery 9: 214–222.
    Von Mierop LHS, Gessner I and Schiebler GL (1972) Asplenia and polysplenia syndromes. Birth Defects 8: 36–44.
 Further Reading
    Feder and Pearson HA (1999) Assessment of splenic function in familial asplenia. New England Journal of Medicine 341: 210–211.
    book Pearson HA (1998) "The spleen and disturbances of splenic function". In: Nathan DG and Orkin SH (eds) Hematology of Infancy and Childhood, 5th edn, chap 26, pp. 1051–1068. Philadelphia: WB Saunders.
Contact Editor close
Submit a note to the editor about this article by filling in the form below.

* Required Field

How to Cite close
Pearson, Howard A(Mar 2003) Spleen: Disorders. In: eLS. John Wiley & Sons Ltd, Chichester. http://www.els.net [doi: 10.1038/npg.els.0002183]