- Haemorrrhage is the most life-threatening complication and usually occurs in the first 24hrs.
- Gastric dilatation is uncommon. Present as nausea, tachycardis, hypotension and signs of sytemic shut down. Patients will develop a sucussion splash.
- Pancreatic fistula will present with vomiting secondary to a localised aleus around the DJ flexure.
- Subphrenic abscess - nause, vomiting, distension, swinging pyrexia, left pleural effusion.
- Post-splenectomy infection. The most vulnerable are children and the elderly, patients within the first year after splenectomy and those with haematological malignancy.
- Increased risk of contracting malaria from travel to areas where it is endemic.
- Lifelong peniccillin (250mg bd)
- Urgent hospital admission on development of infective symptoms.
- PNEUMOCOCCAL vacination every 5 years
- INFLUENZA vaccinations every year
- (Haemophilus Influenzae & meningococcal vaccination before or as soon as possible after emergency surgery.