Splenic inferior pole

The spleen, since antiquity, is an organ little known in its duties^1,3. We conclude that all its physiological role is not known; but what is known, is that it is essential, verified through other means, by post-splenectomy sepsis for example^4,5.

Anatomical studies developed by Neder, AM⁷ and Zapala, A.²⁶, guided by DiDio and anatomical dissections by Campos Christo², guided by Resende Alves²², led to the conclusion that the spleen has independent territories under vascular standpoint. There are five. The upper pole is supported by the phrenoesophageal membrane and few phrenic vessels and the inferior pole presents the splenic-gastric membrane, sectorial pedicle and the spleno-colic ligament. There is, therefore, greater anatomical integration of inferior pole with the visceral abdominal compartment, mainly with left upper quadrant^6-8.

Young stabbing victim forced Campos.Christo² to have the opportunity to realize the first partial splenectomy (ruled) successfully. The fact spread and today, injured spleen is maintained spleen^9-14.

We had the opportunity to implant spleen fragments experimentally and all took completely. Petroianu discussed with me, but did not accept the suggestion and decided to investigate the upper pole on excellence studies^15-21 on its remaining function after ruled splenectomy.