Successful Artery Embolization in a Patient with Autoimmune Lymphoproliferative Syndrome Associated with Splenic Rupture

Splenic artery embolization for atraumatic splenic rupture

“…splenic rupture caused by traumatic injuries has been published and generally agreed upon, treatment of splenic rupture of an atraumatic nature is either extrapolated from the data on traumatic injury or directed on a case by case basis. [1][2][3][4][5][6][7][10][11][12] Case studies on atraumatic splenic injury successfully treated with SAE are growing in number, with recent cases including etiologies such as malaria vivax infection, 17,18 Babesia Microti infection, 19 T-cell lymphocytic leukemia, 20 chronic myeloid leukemia, 21 autoimmune lymphoproliferative disease, 22 venous malformation with consumptive coagulopathy, 23 and colonoscopy. 24 Shafi et al 25 describe the case of a patient who experienced spontaneous splenic rupture after mitral valve replacement for infective endocarditis (IE).…”

“…[2][3][4][5][6][7][10][11][12] While the use of SAE in atraumatic splenic rupture is supported by a growing number of case studiesincluding the rare case of post-operative splenic rupture post cardiac surgery for IE -, 25 the role of SAE in atraumatic injury has not specifically been defined. [17][18][19][20][21][22][23][24] Further research is needed to understand which conditions resulting in splenic rupture may be best suited for treatment with embolization, as well as when to intervene in these cases, what criteria to base intervention on and which embolization technique may be of most benefit.…”