A Case of Spontaneous Splenic Rupture Successfully Treated by Transcatheter Embolization

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  • Kuramoto Toru
    Department of Gastroenterological Surgery, Osakafu Saiseikai Suita Hospital
  • Komeda Koji
    Department of Gastroenterological Surgery, Osakafu Saiseikai Suita Hospital
  • Suzuki Shigenori
    Department of Gastroenterological Surgery, Osakafu Saiseikai Suita Hospital
  • Miyamoto Yoshiharu
    Department of Gastroenterological Surgery, Osakafu Saiseikai Suita Hospital

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Other Title
  • 経カテーテル的動脈塞栓術が有効であった自然脾破裂の1例
  • ケイ カテーテルテキ ドウミャク ソクセンジュツ ガ ユウコウ デ アッタ シゼンヒハレツ ノ 1レイ

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Abstract

<p>A 67-year-old woman was admitted to our hospital complaining of acute left abdominal pain. Her vital signs were stable at the first visit, and examination revealed tenderness in the left abdomen, but no rebound tenderness/guarding. Abdominal CT showed dilatation of the sigmoid colon, massive feces and gas retention, so that the abdominal pain was diagnosed as being caused by constipation. Although the abdominal findings improved slightly after stool extraction, the patient was kept hospitalized for observation. On the 2nd day of hospitalization, the laboratory data revealed worsening of anemia. Enhanced CT showed fluid collection in the epigastric region on the left side, so that we suspected intraperitoneal bleeding, although the potential cause could not be identified. On the third day of hospitalization, the anemia became worse still. The enhanced CT showed a wedge-shaped notch on the dorsal side of the spleen, and splenic rupture was suspected. We decided to perform TAE, which successfully halted the progression of anemia. No evidence of trauma, blood disease, malignant disease or infection was apparent as the cause of the splenic rupture, and we made the diagnosis of spontaneous splenic rupture. We report a rare case of spontaneous splenic rupture that was successfully treated by TAE.</p>

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