Case report of a spontaneous splenic rupture in a patient with chronic lymphocytic leukaemia treated by arterial splenic embolization
| Autor: | Héloïse Tessely, Jean Lemaitre, Stephane Journé, Raphaël Katz |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Chronic lymphocytic leukaemia
medicine.medical_specialty Abdominal pain medicine.medical_treatment Splenectomy Spleen CLL chronic lymphocytic leukaemia Acute abdomen ASE arterial splenic embolization Arterial splenic embolization 03 medical and health sciences 0302 clinical medicine Case report medicine Elective surgery Lymphocytic leukaemia business.industry food and beverages Emergency department Surgery SSR spontaneous splenic rupture medicine.anatomical_structure Splenic embolization 030220 oncology & carcinogenesis Emergency surgery Spontaneous splenic rupture 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2021.01.101 |
| Popis: | Highlights • SSR is an atraumatic event in which the spleen is damaged producing internal haemorrhage in the abdominal cavity. • Actually the treatment of SSR is either surgical or conservative. Only few cases of radiological intervention are published in the literature. • Splenic arterial embolization is a safe treatment option that allows rapid stabilization of the patient while offering both the benefits of splenectomy and conservative treatment. • We present our experience of a case of SSR in a patient with chronic lymphocytic leukaemia managed by emergency embolization and elective surgery. Introduction and importance Spontaneous splenic rupture (SSR) is a rare phenomenon where the spleen ruptures without associated trauma. SSR can lead to an intra-abdominal haemorrhage and an acute abdomen that can be life threatening. Case presentation In this article, we present the case of an 81-year-old woman with chronic lymphocytic leukaemia who presented to the emergency department with severe abdominal pain. Clinical discussion In order to stabilize the patient, while awaiting elective surgery, we managed the rupture with splenic embolization and we reviewed the literature related to the treatments of SSR especially, by arterial splenic embolization. Conclusion Splenic embolization is a safe treatment option, that allows a rapid stabilization and has the advantage of both, splenectomy and conservative treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|