Skip Navigation Links.
Collapse <span class="m110 colortj mt20 fontw700">Volume 12 (2024)</span>Volume 12 (2024)
Collapse <span class="m110 colortj mt20 fontw700">Volume 11 (2023)</span>Volume 11 (2023)
Collapse <span class="m110 colortj mt20 fontw700">Volume 10 (2022)</span>Volume 10 (2022)
Collapse <span class="m110 colortj mt20 fontw700">Volume 9 (2021)</span>Volume 9 (2021)
Collapse <span class="m110 colortj mt20 fontw700">Volume 8 (2020)</span>Volume 8 (2020)
Collapse <span class="m110 colortj mt20 fontw700">Volume 7 (2019)</span>Volume 7 (2019)
Collapse <span class="m110 colortj mt20 fontw700">Volume 6 (2018)</span>Volume 6 (2018)
Collapse <span class="m110 colortj mt20 fontw700">Volume 5 (2017)</span>Volume 5 (2017)
Collapse <span class="m110 colortj mt20 fontw700">Volume 4 (2016)</span>Volume 4 (2016)
Collapse <span class="m110 colortj mt20 fontw700">Volume 3 (2015)</span>Volume 3 (2015)
Collapse <span class="m110 colortj mt20 fontw700">Volume 2 (2014)</span>Volume 2 (2014)
Collapse <span class="m110 colortj mt20 fontw700">Volume 1 (2013)</span>Volume 1 (2013)
American Journal of Medical Case Reports. 2017, 5(11), 282-284
DOI: 10.12691/AJMCR-5-11-5
Case Report

Splenic Artery Embolization (SAE), in a Patient with Consumptive Coagulopathy due to Massive Colonic Bleeding, and Massive Blood Transfusion, as a Bridging Therapy before Colonic Surgery

Sara Abel Jalil1, Jaber Tawil1, Laui Shaheen1, Tawfeeq Abu Eisheh1, Samir Issa Hasan1 and Yasser Abu Safieh1,

1Specialized Arab Hospital, Istishari Arab Hospital, Palestine

Pub. Date: December 28, 2017

Cite this paper

Sara Abel Jalil, Jaber Tawil, Laui Shaheen, Tawfeeq Abu Eisheh, Samir Issa Hasan and Yasser Abu Safieh. Splenic Artery Embolization (SAE), in a Patient with Consumptive Coagulopathy due to Massive Colonic Bleeding, and Massive Blood Transfusion, as a Bridging Therapy before Colonic Surgery. American Journal of Medical Case Reports. 2017; 5(11):282-284. doi: 10.12691/AJMCR-5-11-5

Abstract

Assessment of patient’s health status and hematological parameters usually precedes any invasive diagnostic or therapeutic procedures; Angiography can be effective and safe as an alternative for major surgical procedures, or as a bridging management in such cases. We present a critically ill patient with colon cancer, with massive bleeding and consumptive thrombocytopenia that underwent splenic artery embolization as a bridging therapy before definite therapeutic surgery.

Keywords

splenic artery embolization, thrombocytopenia, consumptive coagulopathy

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  Pachter H, Guth A, Hofstetter S, Spencer F. Changing patterns in the management of splenic trauma: the impact of nonoperative management. Annals of surgery. 1998; 227(5): 708.
 
[2]  Miyazaki M, Itoh H, Kaiho T, Ohtawa S, Ambiru S, Hayashi S, et al. Partial splenic embolization for the treatment of chronic idiopathic thrombocytopenic purpura. AJR American journal of roentgenology. 1994; 163(1): 123-6.
 
[3]  Mozes MF, Spigos DG, Pollak R, Abejo R, Pavel DG, Tan WS, et al. Partial splenic embolization, an alternative to splenectomy-results of a prospective, randomized study. Surgery. 1984; 96(4): 694-702.
 
[4]  Tanrıöver MD, Peynircioğlu B, Arsava BE, İskit AT. Splenic artery embolization: An alternative approach in a critically ill patient with autoimmune hemolytic anemia. Turk J Hematol. 2011; 28: 135-8.
 
[5]  Campbell R, Marik PE. Severe autoimmune hemolytic anemia treated by paralysis, induced hypothermia, and splenic embolization. CHEST Journal. 2005; 127(2): 678-81.
 
[6]  N'kontchou G, Seror O, Bourcier V, Mohand D, Ajavon Y, Castera L, et al. Partial splenic embolization in patients with cirrhosis: efficacy, tolerance and long-term outcome in 32 patients. European journal of gastroenterology & hepatology. 2005; 17(2): 179-84.
 
[7]  Amin MA, El Gendy MM, Dawoud IE, Shoma A, Negm AM, Amer TA. Partial splenic embolization versus splenectomy for the management of hypersplenism in cirrhotic patients. World journal of surgery. 2009; 33(8): 1702-10.
 
[8]  Koconis KG, Singh H, Soares G. Partial splenic embolization in the treatment of patients with portal hypertension: a review of the english language literature. Journal of Vascular and Interventional Radiology. 2007; 18(4): 463-81.
 
[9]  Yoshidome H, Kimura F, Shimizu H, Ohtsuka M, Kato A, Yoshitomi H, et al. Usefulness of preoperative partial splenic embolization in hepatocellular carcinoma and hypersplenic thrombocytopenia. Hepato-gastroenterology. 2011; 58(112): 2062-6.
 
[10]  Kaiho T, Miyazaki M, Iinuma K, Ito H, Koyama T, Nakagawa K, et al. Long-term prognosis of idiopathic thrombocytopenic purpura treated by partial splenic embolization. Nihon Geka Gakkai zasshi. 1993; 94(4): 383-93.
 
[11]  Haan JM, Biffl W, Knudson MM, Davis KA, Oka T, Majercik S, et al. Splenic embolization revisited: a multicenter review. Journal of Trauma and Acute Care Surgery. 2004; 56(3): 542-7.