• Ned Tijdschr Geneeskd · Jun 2007

    Case Reports

    [Successful treatment of splenic haemorrhages with preservation of the spleen by means of selective catheterisation and embolisation of the splenic artery].

    • J P Ruurda, B G Looij, M Rutten, A Zwemmer, and K Bosscha.
    • Jeroen Bosch Ziekenhuis, locatie Groot Ziekengasthuis, Nieuwstraat 34, 5211 NL's-Hertogenbosch. j.ruurda@jbz.nl
    • Ned Tijdschr Geneeskd. 2007 Jun 23;151(25):1418-23.

    AbstractTwo patients with splenic bleeding were treated with transcatheter embolisation and selective coiling of the splenic artery. These were first of all a 78-year-old woman who was on anticoagulants for atrial fibrillation and suffered a laceration of the spleen with extravasation of contrast medium and a falling haemoglobin level. The second patient was a 23-year-old woman who suffered laceration of the spleen as the result of a traffic accident. Embolisation made it possible to avoid surgical treatment and preserve the spleen in both patients. Selective embolisation of the splenic artery is a useful adjunct to the non-operative management of patients with traumatic splenic injury. However, the proper patient selection still needs to be established.

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