Radiofrequency ablation for treatment of hypersplenism: A feasible therapeutic option
| Autor: | Marcello Silveira Rovella, Paulo Herman, João Paulo Giacomini Bernardes, Raphael G Andrade, Marcos Roberto de Menezes, Publio Viana, Guilherme Lopes Pinheiro Martins, Giovanni Guido Cerri |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Cirrhosis Liver Diseases Parasitic Radiofrequency ablation medicine.medical_treatment Contrast Media Case Report Catheter ablation Hypersplenism law.invention Predictive Value of Tests law Hypertension Portal Humans Medicine Major complication Refractory Thrombocytopenia Platelet Count business.industry Gastroenterology General Medicine Middle Aged medicine.disease Ablation Thrombocytopenia Schistosomiasis mansoni Alternative treatment Surgery Treatment Outcome Catheter Ablation Portal hypertension Radiology Tomography X-Ray Computed business |
| Zdroj: | World Journal of Gastroenterology. 21:6391 |
| ISSN: | 1007-9327 |
| DOI: | 10.3748/wjg.v21.i20.6391 |
| Popis: | We present a case of a patient with hypersplenism secondary to portal hypertension due to hepato-splenic schistosomiasis, which was accompanied by severe and refractory thrombocytopenia. We performed spleen ablation and measured the total spleen and ablated volumes with contrast-enhanced computed tomography and volumetry. No major complications occurred, thrombocytopenia was resolved, and platelet levels remained stable, which allowed for early treatment of the patient’s underlying disease. Previous work has shown that splenic radiofrequency ablation is an attractive alternative treatment for hypersplenism induced by liver cirrhosis. We aimed to contribute to the currently sparse literature evaluating the role of radiofrequency ablation (RFA) in the management of hypersplenism. We conclude that splenic RFA appears to be a viable and promising option for the treatment of hypersplenism. |
| Databáze: | OpenAIRE |
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