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Atraumatic splenic rupture cases presenting with hemorrhagic shock and coagulopathy treated by splenic artery occlusion using a microballoon catheter before splenectomy

Atraumatic splenic rupture (ASR) is an uncommon pathologic condition in which bleeding from the spleen occurs for a variety of nontraumatic reasons. While the current trend in traumatic splenic rupture is nonoperative management including transcatheter arterial embolization, the current recommendati...

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Autores principales: Matsumura, Yosuke, Matsumoto, Junichi, Kurita, Takeo, Oshima, Taku, Hattori, Noriyuki, Toma, Takayuki, Teeter, William Arthur, Oda, Shigeto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4593998/
https://www.ncbi.nlm.nih.gov/pubmed/26443017
http://dx.doi.org/10.1093/jscr/rjv121
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author Matsumura, Yosuke
Matsumoto, Junichi
Kurita, Takeo
Oshima, Taku
Hattori, Noriyuki
Toma, Takayuki
Teeter, William Arthur
Oda, Shigeto
author_facet Matsumura, Yosuke
Matsumoto, Junichi
Kurita, Takeo
Oshima, Taku
Hattori, Noriyuki
Toma, Takayuki
Teeter, William Arthur
Oda, Shigeto
author_sort Matsumura, Yosuke
collection PubMed
description Atraumatic splenic rupture (ASR) is an uncommon pathologic condition in which bleeding from the spleen occurs for a variety of nontraumatic reasons. While the current trend in traumatic splenic rupture is nonoperative management including transcatheter arterial embolization, the current recommendation for the treatment of most patients with ASR is splenectomy. In this report, we describe two cases of ASR presenting with hemorrhagic shock and complicated by anticoagulation therapy. In patients with severe hemorrhagic shock and coagulopathy, a damage control strategy is recommended. Our successful treatment of these patients included a three-step strategy as a damage control: (i) rapid transient hemostasis by splenic artery occlusion using a microballoon catheter, (ii) damage control resuscitation and (iii) splenectomy as a definitive hemostatic treatment.
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spelling pubmed-45939982015-10-26 Atraumatic splenic rupture cases presenting with hemorrhagic shock and coagulopathy treated by splenic artery occlusion using a microballoon catheter before splenectomy Matsumura, Yosuke Matsumoto, Junichi Kurita, Takeo Oshima, Taku Hattori, Noriyuki Toma, Takayuki Teeter, William Arthur Oda, Shigeto J Surg Case Rep Case Reports Atraumatic splenic rupture (ASR) is an uncommon pathologic condition in which bleeding from the spleen occurs for a variety of nontraumatic reasons. While the current trend in traumatic splenic rupture is nonoperative management including transcatheter arterial embolization, the current recommendation for the treatment of most patients with ASR is splenectomy. In this report, we describe two cases of ASR presenting with hemorrhagic shock and complicated by anticoagulation therapy. In patients with severe hemorrhagic shock and coagulopathy, a damage control strategy is recommended. Our successful treatment of these patients included a three-step strategy as a damage control: (i) rapid transient hemostasis by splenic artery occlusion using a microballoon catheter, (ii) damage control resuscitation and (iii) splenectomy as a definitive hemostatic treatment. Oxford University Press 2015-10-06 /pmc/articles/PMC4593998/ /pubmed/26443017 http://dx.doi.org/10.1093/jscr/rjv121 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2015. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Reports
Matsumura, Yosuke
Matsumoto, Junichi
Kurita, Takeo
Oshima, Taku
Hattori, Noriyuki
Toma, Takayuki
Teeter, William Arthur
Oda, Shigeto
Atraumatic splenic rupture cases presenting with hemorrhagic shock and coagulopathy treated by splenic artery occlusion using a microballoon catheter before splenectomy
title Atraumatic splenic rupture cases presenting with hemorrhagic shock and coagulopathy treated by splenic artery occlusion using a microballoon catheter before splenectomy
title_full Atraumatic splenic rupture cases presenting with hemorrhagic shock and coagulopathy treated by splenic artery occlusion using a microballoon catheter before splenectomy
title_fullStr Atraumatic splenic rupture cases presenting with hemorrhagic shock and coagulopathy treated by splenic artery occlusion using a microballoon catheter before splenectomy
title_full_unstemmed Atraumatic splenic rupture cases presenting with hemorrhagic shock and coagulopathy treated by splenic artery occlusion using a microballoon catheter before splenectomy
title_short Atraumatic splenic rupture cases presenting with hemorrhagic shock and coagulopathy treated by splenic artery occlusion using a microballoon catheter before splenectomy
title_sort atraumatic splenic rupture cases presenting with hemorrhagic shock and coagulopathy treated by splenic artery occlusion using a microballoon catheter before splenectomy
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4593998/
https://www.ncbi.nlm.nih.gov/pubmed/26443017
http://dx.doi.org/10.1093/jscr/rjv121
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