Acute pseudo-obstruction of the colon following partial splenic artery embolization: report of a case.
This is a case of a 45-year-old woman suffering from liver cirrhosis with hypersplenism who received a partial splenic artery embolization with gelfoam pieces. Thrombocytopenia and leukopenia improved immediately after treatment. Marked abdominal distention, metallic bowel sounds and combined small and large bowel distension with air-fluid levels as shown on a plain abdominal X ray were noted on the fifth day after the embolization procedure. Laparotomy was performed. No mechanical obstruction was found during surgery. Acute pseudo-obstruction of the colon (Ogilvie's syndrome) was diagnosed. This condition was considered to be a complication of the partial splenic artery embolization and has not hitherto been reported.
Lo
T J
TJ
Department of Internal Medicine, Changhua Christian Hospital, Taiwan, R.O.C.
Lin
K C
KC
D000208:Acute Disease; D003112:Colonic Pseudo-Obstruction / Q000209:etiology*; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D013157:Splenic Artery