Successful endovascular treatment of a spontaneous bleeding accessory spleen: A case report
Accessory spleens are often encountered in radiologic studies and they are not usually associated with symptoms. They could arise from autotransplantation of splenic tissue after splenic trauma or splenectomy (splenosis) [1]. In this case we describe a woman treated for splenectomy 20 years before a...
Main Authors: | , , , , , , , , , , , , |
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Format: | Article |
Language: | English |
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Elsevier
2019-07-01
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Series: | Radiology Case Reports |
Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043319301359 |
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author | Francesco Pane, MD Enrico Cavaglià, MD Mattia Silvestre, MD Milena Coppola, MD Fabio Corvino, MD Antonio Borzelli, MD Andrea Paladini, MD Francesco Giurazza, MD Antonio Corvino, MD Daniela Beomonte Zobel, MD Francesco Amodio, MD Francesco Capasso, MD Raffaella Niola, MD |
author_facet | Francesco Pane, MD Enrico Cavaglià, MD Mattia Silvestre, MD Milena Coppola, MD Fabio Corvino, MD Antonio Borzelli, MD Andrea Paladini, MD Francesco Giurazza, MD Antonio Corvino, MD Daniela Beomonte Zobel, MD Francesco Amodio, MD Francesco Capasso, MD Raffaella Niola, MD |
author_sort | Francesco Pane, MD |
collection | DOAJ |
description | Accessory spleens are often encountered in radiologic studies and they are not usually associated with symptoms. They could arise from autotransplantation of splenic tissue after splenic trauma or splenectomy (splenosis) [1]. In this case we describe a woman treated for splenectomy 20 years before and subsequently for adhesions, that suffered sudden left upper abdominal quadrant pain, weakness, and pale color. Contrast-enhanced computed tomography revealed free spilling in the abdomen and venous bleeding of a big accessory spleen; thus the patient underwent transcatheter arterial embolization with coils. Due to the 2 previous surgical operations in the splenic loggia, endovascular treatment compared to “open surgery” was the best choice in this case because of determined less complications, a shorter period of hospitalization, and a reduction of health cost. Keywords: Bleeding, Embolization, Accessory spleen, Splenectomy |
first_indexed | 2024-04-12T01:10:17Z |
format | Article |
id | doaj.art-b8bc03285da8497aab17a7562c8d7aaa |
institution | Directory Open Access Journal |
issn | 1930-0433 |
language | English |
last_indexed | 2024-04-12T01:10:17Z |
publishDate | 2019-07-01 |
publisher | Elsevier |
record_format | Article |
series | Radiology Case Reports |
spelling | doaj.art-b8bc03285da8497aab17a7562c8d7aaa2022-12-22T03:54:07ZengElsevierRadiology Case Reports1930-04332019-07-01147787790Successful endovascular treatment of a spontaneous bleeding accessory spleen: A case reportFrancesco Pane, MD0Enrico Cavaglià, MD1Mattia Silvestre, MD2Milena Coppola, MD3Fabio Corvino, MD4Antonio Borzelli, MD5Andrea Paladini, MD6Francesco Giurazza, MD7Antonio Corvino, MD8Daniela Beomonte Zobel, MD9Francesco Amodio, MD10Francesco Capasso, MD11Raffaella Niola, MD12Dipartimento di scienze biomediche avanzate, Università degli studi di Napoli “Federico II”, Via S.Pansini, 80131 Naples, Italy; Corresponding author.Interventional Radiology Department, AORN “A. Cardarelli”, Via A. Cardarelli 9, 80131 Naples, ItalyInterventional Radiology Department, AORN “A. Cardarelli”, Via A. Cardarelli 9, 80131 Naples, ItalyDipartimento di scienze biomediche avanzate, Università degli studi di Napoli “Federico II”, Via S.Pansini, 80131 Naples, ItalyInterventional Radiology Department, AORN “A. Cardarelli”, Via A. Cardarelli 9, 80131 Naples, ItalyInterventional Radiology Department, AORN “A. Cardarelli”, Via A. Cardarelli 9, 80131 Naples, ItalyRadiology Institute, Services Diagnosis and Therapies Department, Maggiore della Carità Hospital, University of Eastern Piedmont – UPO University, Corso G. Mazzini 18, 28100 Novara, ItalyInterventional Radiology Department, AORN “A. Cardarelli”, Via A. Cardarelli 9, 80131 Naples, ItalyDipartimento di scienze biomediche avanzate, Università degli studi di Napoli “Federico II”, Via S.Pansini, 80131 Naples, ItalyDivision of Interventional Radiology, IFO Regina Elena National Cancer Institute, Via Elio Chianesi, 53, 00144 Rome, ItalyInterventional Radiology Department, AORN “A. Cardarelli”, Via A. Cardarelli 9, 80131 Naples, ItalyDipartimento di scienze biomediche avanzate, Università degli studi di Napoli “Federico II”, Via S.Pansini, 80131 Naples, ItalyInterventional Radiology Department, AORN “A. Cardarelli”, Via A. Cardarelli 9, 80131 Naples, ItalyAccessory spleens are often encountered in radiologic studies and they are not usually associated with symptoms. They could arise from autotransplantation of splenic tissue after splenic trauma or splenectomy (splenosis) [1]. In this case we describe a woman treated for splenectomy 20 years before and subsequently for adhesions, that suffered sudden left upper abdominal quadrant pain, weakness, and pale color. Contrast-enhanced computed tomography revealed free spilling in the abdomen and venous bleeding of a big accessory spleen; thus the patient underwent transcatheter arterial embolization with coils. Due to the 2 previous surgical operations in the splenic loggia, endovascular treatment compared to “open surgery” was the best choice in this case because of determined less complications, a shorter period of hospitalization, and a reduction of health cost. Keywords: Bleeding, Embolization, Accessory spleen, Splenectomyhttp://www.sciencedirect.com/science/article/pii/S1930043319301359 |
spellingShingle | Francesco Pane, MD Enrico Cavaglià, MD Mattia Silvestre, MD Milena Coppola, MD Fabio Corvino, MD Antonio Borzelli, MD Andrea Paladini, MD Francesco Giurazza, MD Antonio Corvino, MD Daniela Beomonte Zobel, MD Francesco Amodio, MD Francesco Capasso, MD Raffaella Niola, MD Successful endovascular treatment of a spontaneous bleeding accessory spleen: A case report Radiology Case Reports |
title | Successful endovascular treatment of a spontaneous bleeding accessory spleen: A case report |
title_full | Successful endovascular treatment of a spontaneous bleeding accessory spleen: A case report |
title_fullStr | Successful endovascular treatment of a spontaneous bleeding accessory spleen: A case report |
title_full_unstemmed | Successful endovascular treatment of a spontaneous bleeding accessory spleen: A case report |
title_short | Successful endovascular treatment of a spontaneous bleeding accessory spleen: A case report |
title_sort | successful endovascular treatment of a spontaneous bleeding accessory spleen a case report |
url | http://www.sciencedirect.com/science/article/pii/S1930043319301359 |
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