title: [Partial splenic artery embolization for the treatment of a patient with hypersplenism due to liver cirrhosis].
abstract: METHODS
  A 52-year-old man with liver cirrhosis and ascites, hepatorenal syndrome and severe pancytopenia was admitted to hospital for treatment and consideration for future liver transplantation.
  
  
  METHODS
  Laboratory tests revealed severe leukocytopenia and thrombocytopenia, which had persisted after otherwise successful treatment of spontaneous bacterial peritonitis and a hepatorenal syndrome. There was no evidence of a toxic cause such as drugs or alcohol nor of an underlying haematologic disease. The most likely diagnosis was hypersplenism.
  
  
  METHODS
  Because of the high risk of a splenectomy it was decided to perform a partial splenic arterial embolization. Both leukocyte and thrombocyte counts rose after the intervention and continued to stay within normal range. This made it possible to discharge the patient from inpatient treatment until he was admitted again for a subsequently successful liver transplantation.
  
  
  CONCLUSIONS
  Partial splenic artery embolization can be successfully used to treat severe leukocytopenia and thrombocytopenia in patients with liver cirrhosis and hypersplenism.
authors.affiliation: Klinik und Poliklinik für Innere Medizin I, Universitätsklinik Regensburg.
authors.forename: V
authors.initials: V
authors.lastname: Guralnik
authors.forename: A
authors.initials: A
authors.lastname: Schäffler
authors.forename: J
authors.initials: J
authors.lastname: Schölmerich
authors.forename: H J
authors.initials: HJ
authors.lastname: Schlitt
authors.forename: R
authors.initials: R
authors.lastname: Müller-Wille
authors.forename: S
authors.initials: S
authors.lastname: Feuerbach
authors.forename: F
authors.initials: F
authors.lastname: Obermeier
mesh_terms: D001201:Ascites / Q000150:complications*; D001772:Blood Cell Count; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D006971:Hypersplenism / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D007970:Leukopenia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D013157:Splenic Artery; D013921:Thrombocytopenia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D016896:Treatment Outcome