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A Patient with Thrombocytopenic Purpura Was Advised to Have a Splenectomy

Question 7

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A patient with thrombocytopenic purpura was advised to have a splenectomy to stop the episodes of bleeding from the gums and gastrointestinal tract. The operation was successful. Eighteen months later the clinical features returned. Can you explain in anatomic terms the recurrence of the bleeding after the condition had apparently been cured by splenectomy?

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About 10% of persons have accessory sple...

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