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Noninvasive Management of Complications From Splenic Artery Aneurysm Embolization After Liver Transplant: A Case

Austin J Livingston1, Laura Hickman, Reza A Imani

  • 1From the Division of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Experimental and Clinical Transplantation : Official Journal of the Middle East Society for Organ Transplantation
|June 18, 2021
PubMed

Splenic artery aneurysms are more common in patients with cirrhosis than in the general population. We report the case of a patient with a history of an orthotopic liver transplant who developed an enlarging splenic artery aneurysm that was treated with splenic artery embolization. He developed extensive portal vein thrombosis and subsequently splenic abscess. Both complications were managed endovascularly, with catheter-directed thrombolysis and percutaneous drains. This case illustrates the possible complications after splenic artery embolization and demonstrates the nonsurgical options for treatment.

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