A Case of Postoperative Splenic Vein Thrombosis of Giant Splenic Hemangioma

DOI
  • Maruta Shohei
    Department of Hepato-Biliary-Pancreatic and Pediatric Surgery, Saitama Medical Center, Saitama Medical University
  • Muta Yuki
    Department of Hepato-Biliary-Pancreatic and Pediatric Surgery, Saitama Medical Center, Saitama Medical University
  • Odaka Akio
    Department of Hepato-Biliary-Pancreatic and Pediatric Surgery, Saitama Medical Center, Saitama Medical University
  • Inoue Seiichiro
    Department of Hepato-Biliary-Pancreatic and Pediatric Surgery, Saitama Medical Center, Saitama Medical University
  • Takeuchi Yuta
    Department of Hepato-Biliary-Pancreatic and Pediatric Surgery, Saitama Medical Center, Saitama Medical University
  • Komagome Masahiko
    Department of Hepato-Biliary-Pancreatic and Pediatric Surgery, Saitama Medical Center, Saitama Medical University
  • Kogure Ryota
    Department of Hepato-Biliary-Pancreatic and Pediatric Surgery, Saitama Medical Center, Saitama Medical University
  • Beck Yoshifumi
    Department of Hepato-Biliary-Pancreatic and Pediatric Surgery, Saitama Medical Center, Saitama Medical University
  • Park Yeongji
    Department of General Surgery, Kawagoe Mitsui Hospital
  • Hata Satoshi
    Department of General Surgery, Kawagoe Mitsui Hospital

Bibliographic Information

Other Title
  • 脾臓摘出術後に脾静脈血栓を生じた巨大脾血管腫の1例

Abstract

<p>Portal vein thrombosis is a critical complication after splenectomy. A 10-year-old girl with no significant past medical history was brought to our hospital with a recent history of abdominal bruising. A contrast-enhanced computed tomography (CT) scan revealed giant splenic hemangioma. Splenic artery embolization was performed followed by laparoscopic splenectomy after confirming the shrinkage of the tumor, portal vein, and splenic vein. The pathological diagnosis was splenic hemangioma. A postoperative CT scan revealed splenic vein thrombosis, and the platelet count increased to 870,000/μl. Thus, we started antiplatelet therapy. The platelet count gradually decreased and splenic vein thrombosis finally disappeared on postoperative day 25. In this study, we prevented the extension of portal vein thrombosis to the splenic vein. We consider that preoperative splenic artery embolization might be helpful in terms of prophylaxis of portal vein thrombosis.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390299926126261376
  • DOI
    10.11164/jjsps.60.2_166
  • ISSN
    21874247
    0288609X
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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