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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...

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Autores principales: Pane, Francesco, Cavaglià, Enrico, Silvestre, Mattia, Coppola, Milena, Corvino, Fabio, Borzelli, Antonio, Paladini, Andrea, Giurazza, Francesco, Corvino, Antonio, Zobel, Daniela Beomonte, Amodio, Francesco, Capasso, Francesco, Niola, Raffaella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462800/
https://www.ncbi.nlm.nih.gov/pubmed/31011380
http://dx.doi.org/10.1016/j.radcr.2019.03.037
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author Pane, Francesco
Cavaglià, Enrico
Silvestre, Mattia
Coppola, Milena
Corvino, Fabio
Borzelli, Antonio
Paladini, Andrea
Giurazza, Francesco
Corvino, Antonio
Zobel, Daniela Beomonte
Amodio, Francesco
Capasso, Francesco
Niola, Raffaella
author_facet Pane, Francesco
Cavaglià, Enrico
Silvestre, Mattia
Coppola, Milena
Corvino, Fabio
Borzelli, Antonio
Paladini, Andrea
Giurazza, Francesco
Corvino, Antonio
Zobel, Daniela Beomonte
Amodio, Francesco
Capasso, Francesco
Niola, Raffaella
author_sort Pane, Francesco
collection PubMed
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.
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spelling pubmed-64628002019-04-22 Successful endovascular treatment of a spontaneous bleeding accessory spleen: A case report Pane, Francesco Cavaglià, Enrico Silvestre, Mattia Coppola, Milena Corvino, Fabio Borzelli, Antonio Paladini, Andrea Giurazza, Francesco Corvino, Antonio Zobel, Daniela Beomonte Amodio, Francesco Capasso, Francesco Niola, Raffaella Radiol Case Rep Interventional Radiology 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. Elsevier 2019-04-12 /pmc/articles/PMC6462800/ /pubmed/31011380 http://dx.doi.org/10.1016/j.radcr.2019.03.037 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Interventional Radiology
Pane, Francesco
Cavaglià, Enrico
Silvestre, Mattia
Coppola, Milena
Corvino, Fabio
Borzelli, Antonio
Paladini, Andrea
Giurazza, Francesco
Corvino, Antonio
Zobel, Daniela Beomonte
Amodio, Francesco
Capasso, Francesco
Niola, Raffaella
Successful endovascular treatment of a spontaneous bleeding accessory spleen: A case report
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
topic Interventional Radiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462800/
https://www.ncbi.nlm.nih.gov/pubmed/31011380
http://dx.doi.org/10.1016/j.radcr.2019.03.037
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