Spontaneous splenic rupture due to extensive venous malformation with consumptive coagulopathy: treatment with splenic artery embolization.
Extensive venous malformation (VM) is often associated with chronic consumptive coagulopathy, which may result in bleeding complications. We report herein the case of a 25-year-old man with extensive VM involving the left lower extremity who presented with hypovolemic shock and abdominal distension without abdominal trauma. Abdomen computed tomography revealed splenic rupture with massive hemoperitoneum. He was managed successfully by repeated splenic artery embolization.
Chun
Ho Jong
HJ
Department of Radiology, The Catholic University of Korea, Seoul, Korea.
Osuga
Keigo
K
Ukai
Isao
I
Ikeda
Masataka
M
Kawasaki
Tomio
T
Nakamura
Hironobu
H
D000328:Adult; D004211:Disseminated Intravascular Coagulation / Q000150:complications*; D004621:Embolization, Therapeutic; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D012422:Rupture, Spontaneous; D013161:Splenic Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D014680:Veins / Q000002:abnormalities*