Related Experiment Video
Updated: Jul 5, 2026
02:09
Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
Progressive splenomegaly following splenic artery embolization
Bratcher L Runyan1, R Stephen Smith, Jacqueline S Osland
1Department of Surgery, The University of Kansas School of Medicine-Wichita, Wichita, Kansas 67214, USA.
The American Surgeon
|May 17, 2008
Summary
Splenic artery embolization can cause progressive splenomegaly and delayed splenectomy in trauma patients. This case highlights a rare complication of embolization therapy for splenic injury.
Area of Science:
- Trauma Surgery
- Interventional Radiology
Background:
- Nonoperative management is standard for hemodynamically stable splenic injuries.
- Splenic artery embolization (SAE) is an adjunct for ongoing hemorrhage but complications are poorly defined.
Observation:
- A 57-year-old male with Grade III splenic injury underwent SAE for declining hemoglobin.
- Post-embolization, the patient experienced recurrent abdominal pain and shortness of breath due to enlarging subcapsular fluid collection.
- Delayed splenectomy was required due to intractable pain from the sterile, contained hematoma.
Findings:
- SAE can lead to progressive splenomegaly and delayed splenectomy.
- Indications for SAE and its complication spectrum require further definition.
- This case illustrates a significant complication of SAE in splenic trauma.
Implications:
- Clinicians should be aware of potential delayed complications following SAE for splenic injuries.
- Further research is needed to define SAE indications and document its complications.
- This case underscores the importance of vigilant monitoring after SAE.
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