[Successful treatment of splenic haemorrhages with preservation of the spleen by means of selective catheterisation and embolisation of the splenic artery].
Two patients with splenic bleeding were treated with transcatheter embolisation and selective coiling of the splenic artery. These were first of all a 78-year-old woman who was on anticoagulants for atrial fibrillation and suffered a laceration of the spleen with extravasation of contrast medium and a falling haemoglobin level. The second patient was a 23-year-old woman who suffered laceration of the spleen as the result of a traffic accident. Embolisation made it possible to avoid surgical treatment and preserve the spleen in both patients. Selective embolisation of the splenic artery is a useful adjunct to the non-operative management of patients with traumatic splenic injury. However, the proper patient selection still needs to be established.
Jeroen Bosch Ziekenhuis, locatie Groot Ziekengasthuis, Nieuwstraat 34, 5211 NL's-Hertogenbosch. j.ruurda@jbz.nl
J P
JP
Ruurda
B G
BG
Looij
M
M
Rutten
A
A
Zwemmer
K
K
Bosscha
D000328:Adult; D000368:Aged; D004621:Embolization, Therapeutic; D005260:Female; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D013154:Spleen / Q000098:blood supply / Q000293:injuries*; D013157:Splenic Artery / Q000293:injuries; D013158:Splenic Diseases / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000628:therapy*