Partial splenic embolization versus splenectomy for the management of autoimmune hemolytic anemia: A response

Severe thrombocytopenia due to hypersplenism treated with partial splenic embolisation

“…Apart from to treat hypersplenism secondary to hepatic disease, other indications of PSE include chronic idiopathic thrombocytopenic purpura, hereditary sherocytosis and splenic trauma in haemodynamically unstable patient 4. The use of splenic artery embolisation for treatment of splenic artery aneurysms and spontaneous rupture of splenic haemangioma have also been documented 2…”

“…The potential complications include post-embolisation syndrome, splenic abscess, splenic rupture, refractory ascites, distal pancreatitis and gastrointenstinal bleeding 5 6. Pulmonary disorders, such as pneumonia, atelectasis and pleural effusions, are the other potential complications, which usually develop in the left lung and are associated with embolisation of the upper pole of the spleen 4. Post-embolisation syndrome is the by far the most frequent side effect and is regarded as minor,6 7 with fever, malaise, discomfort and leucocytosis and generally lasts not more than 3–5 days.…”