Spontaneous splenic rupture in a vivax malaria case treated with transcatheter coil embolization of the splenic artery.
An enlarged spleen is considered one of the most common signs of malaria, and splenic rupture rarely occurs as an important life-threatening complication. Splenectomy has been recommended as the treatment of choice for hemodynamically unstable patients. However, a very limited number of splenic rupture patients have been treated with transcatheter coil embolization. Here we report a 38-year-old Korean vivax malaria patient with ruptured spleen who was treated successfully by embolization of the splenic artery. The present study showed that angiographic embolization of the splenic artery may be an appropriate option to avoid perioperative harmful effects of splenectomy in malaria patients.
Department of Radiology, Inha University Hospital, Inha University School of Medicine, Incheon, Korea.
Na Hee
NH
Kim
Department of Radiology, Inha University Hospital, Inha University School of Medicine, Incheon, Korea.
Kyung Hee
KH
Lee
Department of Radiology, Inha University Hospital, Inha University School of Medicine, Incheon, Korea.
Yong Sun
YS
Jeon
Department of Radiology, Inha University Hospital, Inha University School of Medicine, Incheon, Korea.
Soon Gu
SG
Cho
Department of Radiology, Inha University Hospital, Inha University School of Medicine, Incheon, Korea.
Jun Ho
JH
Kim
D000328:Adult; D004621:Embolization, Therapeutic; D006801:Humans; D016780:Malaria, Vivax / Q000150:complications*; D008297:Male; D013157:Splenic Artery / Q000601:surgery*; D013161:Splenic Rupture / Q000209:etiology / Q000601:surgery*
Plasmodium vivax; coil embolization; malaria; spleen; spontaneous rupture