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

Francesco Pane, MD; Enrico Cavaglià, MD; Mattia Silvestre, MD; Milena Coppola, MD; Fabio Corvino, MD; Antonio Borzelli, MD; Andrea Paladini, MD; Francesco Giurazza, MD; Antonio Corvino, MD; Daniela Beomonte Zobel, MD; Francesco Amodio, MD; Francesco Capasso, MD; Raffaella Niola, MD

Radiology Case Reports (Jul 2019)

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

Francesco Pane, MD,
Enrico Cavaglià, MD,
Mattia Silvestre, MD,
Milena Coppola, MD,
Fabio Corvino, MD,
Antonio Borzelli, MD,
Andrea Paladini, MD,
Francesco Giurazza, MD,
Antonio Corvino, MD,
Daniela Beomonte Zobel, MD,
Francesco Amodio, MD,
Francesco Capasso, MD,
Raffaella Niola, MD

Affiliations

Francesco Pane, MD: Dipartimento di scienze biomediche avanzate, Università degli studi di Napoli “Federico II”, Via S.Pansini, 80131 Naples, Italy; Corresponding author.
Enrico Cavaglià, MD: Interventional Radiology Department, AORN “A. Cardarelli”, Via A. Cardarelli 9, 80131 Naples, Italy
Mattia Silvestre, MD: Interventional Radiology Department, AORN “A. Cardarelli”, Via A. Cardarelli 9, 80131 Naples, Italy
Milena Coppola, MD: Dipartimento di scienze biomediche avanzate, Università degli studi di Napoli “Federico II”, Via S.Pansini, 80131 Naples, Italy
Fabio Corvino, MD: Interventional Radiology Department, AORN “A. Cardarelli”, Via A. Cardarelli 9, 80131 Naples, Italy
Antonio Borzelli, MD: Interventional Radiology Department, AORN “A. Cardarelli”, Via A. Cardarelli 9, 80131 Naples, Italy
Andrea Paladini, MD: Radiology Institute, Services Diagnosis and Therapies Department, Maggiore della Carità Hospital, University of Eastern Piedmont – UPO University, Corso G. Mazzini 18, 28100 Novara, Italy
Francesco Giurazza, MD: Interventional Radiology Department, AORN “A. Cardarelli”, Via A. Cardarelli 9, 80131 Naples, Italy
Antonio Corvino, MD: Dipartimento di scienze biomediche avanzate, Università degli studi di Napoli “Federico II”, Via S.Pansini, 80131 Naples, Italy
Daniela Beomonte Zobel, MD: Division of Interventional Radiology, IFO Regina Elena National Cancer Institute, Via Elio Chianesi, 53, 00144 Rome, Italy
Francesco Amodio, MD: Interventional Radiology Department, AORN “A. Cardarelli”, Via A. Cardarelli 9, 80131 Naples, Italy
Francesco Capasso, MD: Dipartimento di scienze biomediche avanzate, Università degli studi di Napoli “Federico II”, Via S.Pansini, 80131 Naples, Italy
Raffaella Niola, MD: Interventional Radiology Department, AORN “A. Cardarelli”, Via A. Cardarelli 9, 80131 Naples, Italy

Journal volume & issue: Vol. 14, no. 7
pp. 787 – 790

Abstract

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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. Keywords: Bleeding, Embolization, Accessory spleen, Splenectomy

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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