Partial splenic embolization treats recurrent left pleural effusions in a patient with portal venous system thrombosis

Ahmed-Zayn Mohamed, JD; Omeed Jazayeri-Moghaddas, MD; Michael Markovitz, MD; Christopher DeClue, MD; Elie Barakat, MD; Clifford Davis, MD

Radiology Case Reports (Jul 2021)

Partial splenic embolization treats recurrent left pleural effusions in a patient with portal venous system thrombosis

Ahmed-Zayn Mohamed, JD,
Omeed Jazayeri-Moghaddas, MD,
Michael Markovitz, MD,
Christopher DeClue, MD,
Elie Barakat, MD,
Clifford Davis, MD

Affiliations

Ahmed-Zayn Mohamed, JD: University of South Florida, Morsani College of Medicine, 12901 Bruce B. Downs Blvd. MDC 41, Tampa, Florida, 33612; Corresponding author.
Omeed Jazayeri-Moghaddas, MD: University of South Florida, Department of Radiology, 12901 Bruce B. Downs Blvd. MDC 41, Tampa, Florida, 33612
Michael Markovitz, MD: University of South Florida, Department of Radiology, 12901 Bruce B. Downs Blvd. MDC 41, Tampa, Florida, 33612
Christopher DeClue, MD: University of South Florida, Department of Radiology, 12901 Bruce B. Downs Blvd. MDC 41, Tampa, Florida, 33612
Elie Barakat, MD: University of South Florida, Department of Radiology, 12901 Bruce B. Downs Blvd. MDC 41, Tampa, Florida, 33612
Clifford Davis, MD: University of South Florida, Department of Radiology, 12901 Bruce B. Downs Blvd. MDC 41, Tampa, Florida, 33612

Journal volume & issue: Vol. 16, no. 7
pp. 1862 – 1864

Abstract

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A 56-year-old female with thrombocythemia complicated by portal venous system thrombosis presented with recurrent left pleural effusions after failed recanalization via mechanical thrombectomy and stenting at an outside center. With no other cause, splenic vein thrombosis and left-sided portal hypertension was suggested as a possible etiology. Partial splenic embolization was performed with immediate decrease in effusions and resolution by 8 weeks. Portal and splenic venous system thrombosis may cause recurrent pleural effusions from left-sided portal hypertension and fluid leakage across diaphragmatic defects. Upper pole partial splenic embolization may treat recurrent left pleural effusions and offer an alternative to 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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