scholarly journals Hypersplenism in a young girl: managed non-surgically

2017 ◽  
Vol 5 (8) ◽  
pp. 3742
Author(s):  
Tanvi Batra ◽  
Shipra Gulati ◽  
Vijayashree S. Gokhale ◽  
Arjun Lal Kakrani
Keyword(s):  
Portal Hypertension ◽  
Portal Vein ◽  
Splenic Artery ◽  
Gastric Varices ◽  
Splenic Infarction ◽  
Artery Embolization ◽  
Splenic Artery Embolization ◽  
Post Procedure ◽  
Left Hypochondrium ◽  
Grade Iii

A 16-years-old female, non-alcoholic, presented with pain in left hypochondrium and distention of abdomen. Her USG Abdomen, portal vein doppler and CT abdomen revealed chronic thrombosis of intrahepatic portion of portal vein with multiple collaterals and gross splenomegaly suggestive of portal hypertension. Trans jugular liver biopsy showed no regeneration or fibrosis of liver. Endoscopy showed grade III oesophageal and gastric varices. Splenic artery embolisation was done for hypersplenism. Post procedure CT abdomen revealed large areas of splenic infarction-sequelae of splenic artery embolization. 

scholarly journals Efficacy of partial splenic artery embolization for gastric varices with left-sided portal hypertension

2014 ◽  
Vol 84 (1) ◽  
pp. 90-91
Author(s):  
Yu Ogino ◽  
Takahiko Mimura ◽  
Kazunori Hijikata ◽  
Tomoko Umakoshi ◽  
Mitsuko Inuyama ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Splenic Artery ◽  
Gastric Varices ◽  
Artery Embolization ◽  
Splenic Artery Embolization

scholarly journals Severe Complications After Splenic Artery Embolization for Portal Hypertension Due to Hepatic Cirrhosis

2020 ◽  
Vol Volume 13 ◽  
pp. 135-140 ◽  
Author(s):  
Lei Zhang ◽  
Zhan-Guo Zhang ◽  
Xin Long ◽  
Fei-Long Liu ◽  
Wan-Guang Zhang
Keyword(s):  
Portal Hypertension ◽  
Splenic Artery ◽  
Hepatic Cirrhosis ◽  
Artery Embolization ◽  
Splenic Artery Embolization

Splenic Artery Embolization for the Treatment of Bleeding Gastric Varices Secondary to Splenic Vein Thrombosis

2014 ◽  
Vol 28 (3) ◽  
pp. 737.e7-737.e11 ◽  
Author(s):  
Patrick A. Stone ◽  
David Phang ◽  
Bryan Richmond ◽  
Gurpreet Gill ◽  
John E. Campbell
Keyword(s):  
Splenic Artery ◽  
Splenic Vein ◽  
Gastric Varices ◽  
Splenic Vein Thrombosis ◽  
Artery Embolization ◽  
Splenic Artery Embolization ◽  
Vein Thrombosis

scholarly journals SPLEnic salvage and complications after splenic artery EmbolizatioN for blunt abdomINal trauma: the SPLEEN-IN study

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Warren Clements ◽  
Tim Joseph ◽  
Jim Koukounaras ◽  
Gerard S. Goh ◽  
Heather K. Moriarty ◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Splenic Artery ◽  
Clinical Success ◽  
Vascular Lesions ◽  
Technical Success ◽  
Artery Embolization ◽  
Level Of Evidence ◽  
Splenic Artery Embolization ◽  
Splenic Salvage ◽  
Grade Iii

Abstract Background As an adjunct to non-operative management, splenic artery embolization (SAE) has been increasingly utilized throughout the world and is now the standard of care for hemodynamically stable patients. This study aimed to retrospectively assess the rate of splenic salvage and complications after SAE for blunt trauma at a level 1 trauma center using the 2018 update to the AAST criteria, and further sub-stratify the role of angiography in AAST grade III injuries with significant hemoperitoneum. All patients between 1 January 2009 and 1 January 2019 who underwent blunt trauma and proceeded to embolization were included. Data was collected concerning initial injury grade, location of embolization, type of embolic material used, complications, and need for subsequent splenectomy. Technical success was defined as successful angiographic occlusion of the target artery at the conclusion of embolization. Clinical success was defined as splenic salvage at discharge. Vascular lesions were characterized including those with active bleeding, pseudoaneurysm, and arterio-venous fistula. Results Two hundred thirty-two patients were included in the study. Treatments were performed at a median of 0 days (range 0–28 days) and the median AAST grade was IV (range III-V). Technical success was achieved in all patients. There were 13 complications (5.6%) consisting of re-bleed (9, 3.9%), infarction (3, 1.3%), and access site haematoma (1, 0.43%). Clinical success was achieved in 97% of patients with 7 patients requiring splenectomy after SAE (3.0%) at a median time of 4 days (range 0–17 days). Angiography in patients with grade III injuries identified 18 occult vascular injuries not identified at initial CT (p < 0.0001). Conclusions The SPLEEN-IN study shows that treatment of intermediate-high grade blunt force traumatic splenic injuries using SAE resulted in a low rate of complication and splenic salvage in 97% of patients, providing a safe and effective treatment in stable patients. In addition, angiography of grade III injuries identified occult vascular lesions and may warrant treatment of select patients in this cohort. Level of evidence Level 3.

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