Splenic artery embolization for atraumatic splenic rupture

Miller, Zoe A.

doi:10.1111/jocs.15002

Cited by 2 publications

(4 citation statements)

References 28 publications

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“…It suggests that good surgical practice and material selection might be important factors in preventing adverse reactions. The take-home message of this case is that SAE might be a valuable treatment option for BS-associated splenic rupture, as suggested previously in non-BS cases[ 7 , 8 ].…”

Section: Discussionsupporting

confidence: 54%

Successful splenic artery embolization in a patient with Behçet’s syndrome-associated splenic rupture: A case report

Zhu,

2024

World J Gastrointest Surg

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BACKGROUND Splenic rupture associated with Behçet’s syndrome (BS) is extremely rare, and there is no consensus on its management. In this case report, a patient with BS-associated splenic rupture was successfully treated with splenic artery embolization (SAE) and had a good prognosis after the intervention. CASE SUMMARY The patient was admitted for pain in the left upper abdominal quadrant. He was diagnosed with splenic rupture. Multiple oral and genital aphthous ulcers were observed, and acne scars were found on his back. He had a 2-year history of BS diagnosis, with symptoms of oral and genital ulcers. At that time, he was treated with oral corticosteroids for 1 month, but the symptoms did not alleviate. He underwent SAE to treat the rupture. On the first day after SAE, the patient reported a complete resolution of abdominal pain and was discharged 5 d later. Three months after the intervention, a computed tomography examination showed that the splenic hematoma had formed a stable cystic effusion, suggesting a good prognosis. CONCLUSION SAE might be a good choice for BS-associated splenic rupture based on good surgical practice and material selection.

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Section: Discussionsupporting

confidence: 54%

Successful splenic artery embolization in a patient with Behçet’s syndrome-associated splenic rupture: A case report

Zhu,

2024

World J Gastrointest Surg

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“…In general, our management was consistent with the recommendation that hemodynamically stable patients can be sent for non-operative embolization while hemodynamically unstable patients should receive surgical intervention. 15 Multiple case series have recommended surgery as the definitive treatment for atraumatic splenic rupture. 5 , 6 , 11 One study found that up to 60% of patients undergoing embolization needed subsequent surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, Miller et al favors non-operative management in hemodynamically stable patients, with the goal of splenic salvage given little evidence of splenic dysfunction before or after embolization. 15 Splenic artery embolization is currently recommended for grade 4–5 injury by the American Association for the Surgery of Trauma Organ Injury Scale (see Table 1 ). 15 …”

Section: Discussionmentioning

confidence: 99%