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376350

PARTIAL SPLENIC EMBOLIZATION FOR THE TREATMENT OF HYPERSPLENISM

Article

Last updated: 21 Dec 2024

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Abstract

Surgical removal of the spleen is a well established procedure which is indicated for various Hematologic disorders. As 
an alternative to surgical splenectomy, partial splenic embolization was done on 21 patients for secondary hypersplenism due to portal hypertension, manifested by splenomegaly, thrombocytopenia, leucopenia, and erythrocyte hemolysis. Within few days platelet and leucocytic counts rose significantly in all patients, and were maintained throughout the whole follow up period, hemoglobin levels did not significantly changed immediately after PSE, but returned to normal levels by 6 months after PSE. Splenic volume was decreased significantly after PSE. Transient procedural complications included abdominal pain and fever in all patients, 2 patients developed left basal pneumonia, and 2 patients developed bleeding from the puncture site. Given the safety, efficacy, and advantages of PSE, it should be considered a valid alternative treatment of hypersplenism and the treatment of choice for selected patients with hypersplenism caused by PHT. 

DOI

10.21608/ejsur.2001.376350

Keywords

Splenic embolization, Portal Hypertension, Hypersplenism, Splenic Volume

Authors

First Name

Salah

Last Name

El-Gamal

MiddleName

-

Affiliation

Department of General Medicine, Faculty Of Medicine, Mansoura University, Egypt

Email

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City

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Orcid

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First Name

Ibrahim

Last Name

Dawoud

MiddleName

-

Affiliation

Department of General Surgery, Faculty Of Medicine, Mansoura University, Egypt

Email

dawoud2004@hotmail.com

City

-

Orcid

0000-0002-3288-5515

First Name

Talal

Last Name

Amer

MiddleName

-

Affiliation

Department of Diagnostic Radiology, Faculty Of Medicine, Mansoura University, Egypt

Email

-

City

-

Orcid

-

Volume

20

Article Issue

3

Related Issue

50030

Issue Date

2001-07-01

Receive Date

2024-08-27

Publish Date

2001-07-01

Page Start

624

Page End

631

Print ISSN

1110-1121

Online ISSN

1687-7624

Link

https://ejsur.journals.ekb.eg/article_376350.html

Detail API

https://ejsur.journals.ekb.eg/service?article_code=376350

Order

376,350

Type

Original Article

Type Code

3,086

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

PARTIAL SPLENIC EMBOLIZATION FOR THE TREATMENT OF HYPERSPLENISM

Details

Type

Article

Created At

21 Dec 2024