Successful endovascular treatment of a spontaneous bleeding accessory spleen: A case report

Francesco Pane1, Enrico Cavaglià2, Mattia Silvestre2

  • 1Dipartimento di scienze biomediche avanzate, Università degli studi di Napoli "Federico II", Via S.Pansini, 80131 Naples, Italy.

Radiology Case Reports
|April 24, 2019
PubMed

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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