A 44-year-old man was treated at Medicover Hospital, Srikakulam, for persistent shortness of breath and recurrent upper respiratory tract infections while exercising. Over time, his symptoms worsened, affecting his daily activities and overall health.

Severe Blood Abnormalities

Clinical examination revealed:

Laboratory investigations revealed severe pancytopenia:

Ultrasound imaging confirmed massive enlargement of the spleen. Bone marrow biopsy revealed hypercellularity, indicating that the marrow is functioning but that blood cells are being destroyed or trapped in the enlarged spleen. This is medically called hypersplenism.

Pre-Surgical Optimization and Planning

Given the severity of the case, the patient underwent the following treatments:

After careful preparation, the team planned an elective splenectomy.

High-Risk Surgical Procedure

At the time of surgery, the spleen was markedly enlarged, measuring 45 X 25 cm, well above normal.

Key surgical steps included:

Early vascular control played a critical role in safe removal.

Excellent Postoperative Recovery

The postoperative period was uneventful and without any complications.

After surgery:

The patient recovered well and was discharged in stable condition.

Medicover Clinical Significance

Massive splenomegaly with hypersplenism is a complex condition that leads to severe anemia, infections, and bleeding risks.

This case highlights:

The successful management of this rare and high-risk case at Medicover Hospital in Srikakulam demonstrates advanced surgical expertise and comprehensive perioperative care.

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