Thanks for all the great information on the spleen. I just found out this week that I don't have one anymore. The cat scan results showed my spleen had been removed during surgery last year. When they opened my abdomen to repair a ruptured giant paraesphogical hernia repair, my chest cavity was full of blood and all my internal organs had to be put back in place. They had told me after surgery that they had nicked my spleen, but didn't say they removed it. They made a large incision under my left breast practically to my armpit and I had a tube inserted through my lungs to drain the fluid. The sorest part of the surgery was the site where the tube was inserted. I was still having a lot of pain and discomfort in the upper left quadrant just below the rib cage so that is why I had the cat scan. Now I see that is where the spleen is/was located, so I am assuming I have adhesions or scar tissue from the surgery last summer. I have to go see my own GP next week so I will ask for a copy of the cat scan report for my own files and to verify for sure that my spleen has been removed. I need more surgery so knowing I don't have a spleen is very important as my two incisions both got infected last summer and I don't want a repeat of that.
Good readable and understandabe stuff. Thanks. BTW, I'm guessing you should have results maybe next Wed. Hang in there.
Here's some information on the spleen for ya. I lost mine in 1984 to Leukemia and have lived just find without it.
Genotype 1a, Stage 3, Grade 3
Finished 48 wks of tx on 4/13/07
Waiting on results of SVR PCR taken 9/20/07
Do we need it?
Spleen Geography 101:
A part of the lymphatic system, the dark purplish spleen lies in the upper left abdomen protected by the lower ribs. (Our unscientific, people-on-the-street survey suggests wide gaps in anatomy knowledge. "Where is the spleen?" was met with, "Uh, it's somewhere in the main part of the body--not in the extremities.")
My, What a Fine Looking Spleen:
Size and weight can vary greatly, but in healthy adults the spleen is often about 5 inches long by 3 inches wide and 1 1/2 inches thick. A typical spleen weighs in at about 6 ounces in a healthy adult. But when it becomes enlarged--from malaria or other diseases--it can weigh a hefty 4 pounds or so.
They're Not Just for Venting:
Not that you've noticed, but the spleen is a busy little part. Its main tasks are to remove worn-out and damaged red blood cells and platelets and to help the body fight off infection.
It filters foreign substances from the blood and produces white blood cells called lymphocytes, which help boost immunity.
Whose Spleen Is It, Anyway?:
Spleens are handled by internists, though hematologists (physicians specializing in blood and blood-producing organs) and oncologists (physicians specializing in tumors) also provide spleen care, depending on the exact problem.
Spleens Gone Bad:
So what can go wrong with the spleen? It can get too big, sometimes producing a soreness. Besides malaria, a host of other disorders are accompanied by enlargement of the spleen. A partial list:
infectious mononucleosis, chronic liver problems, rheumatoid arthritis, lupus, the early stages of AIDS. In sickle cell anemia patients, the spleen enlarges and then patients lose spleen function, says Dr. Andrew Saxon, professor of medicine and chief of the division of clinical immunology at UCLA.
Patients with Gaucher's disease (a disorder of fat metabolism) have enlarged spleens, as do people with lymphomas and people with idiopathic thrombocytopenic purpura (ITP), a systemic illness marked by low platelet counts, weakness and anemia.
The spleen can also get ruptured in car accidents, falls or stabbings.
If the spleen is injured seriously, or otherwise causes too much trouble, it's likely to get yanked, although in some instances it is repaired.
Yes, you can live a full life without your spleen.
About 1% of the population is spleenless, estimates Dr. Lawrence May, an internist at Encino-Tarzana Medical Center.
Among the spleenless is talk show host Jay Leno. In his book "Leading With My Chin" (HarperCollins, 1996), he describes his childhood trip down the banister that ended at the hospital, where he and his spleen parted company.
The spleen's tasks are largely taken over by other parts of the lymphatic system and the liver. Oddly, some people--no one's quite sure how many--have a spare spleen. An accessory spleen, as it's known, is not rare, Saxon says.
Spleened Versus Spleenless:
"On paper, spleenless is not as good as someone who has a spleen," Saxon says, referring to overall health. "They are more susceptible to infection," he says. Those who have lost a spleen to rupture are generally healthier than those who are spleenless due to lymphoma, for instance, Saxon notes.
Folks without a spleen should take some precautions, experts concur.
Get vaccinated against pneumonia and always alert a new doctor or dentist to your condition. When fever strikes, people without a spleen can get sicker quicker, May says.
And dentists may want to take extra precautions to minimize infection risks, says Dr. Eric Sung, a dentist and program director of the UCLA hospital dentistry program.
People without spleens might also want to note that fact on a medical information bracelet.
Copyright, The Times Mirror Company; Los Angeles Times, 1997.
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