Start Submission

Reading: Partial splenic artery embolization: an alternative management strategy for resistant thromb...

Download

A- A+
dyslexia friendly

Case Reports

Partial splenic artery embolization: an alternative management strategy for resistant thrombocytopenia of immune thrombocytopenic purpura (ITP)

Authors:

L. K. Dissanayake ,

Teaching Hospital Peradeniya, LK
About L. K.
Department of Radiology
X close

P. B. Hewavithana,

Teaching Hospital Peradeniya, LK
About P. B.
Department of Radiology

Department of Radiology, Faculty of Medicine, University of Peradeniya
X close

R. M. P. Manel Rathnayake,

University of Peradeniya, LK
About R. M. P. Manel
Department of Pathology, Faculty of Medicine
X close

A. U. B. Pethiyagoda

University of Peradeniya, LK
About A. U. B.
Department of Surgery, Faculty of Medicine
X close

Abstract

A 69-year-old male presented with haematuria due to a recurrent carcinoma of the bladder in the background of resistant thrombocytopaenia with immune thrombocytopenic purpura. He required frequent platelet transfusions and was a high risk surgical candidate. Partial splenic artery embolization was performed with selective catheterization of the splenic artery. The initial platelet count of 32 x 109/L showed a marked increase after 48 hours, to 251 x 109/L. No complications such as post embolization syndrome were observed. This case report highlights that splenic artery embolization is a stand-alone alternative therapy, for selected patients with ITP having resistant thrombocytopaenia, especially in nonsurgical candidates.
How to Cite: Dissanayake, L.K. et al., (2018). Partial splenic artery embolization: an alternative management strategy for resistant thrombocytopenia of immune thrombocytopenic purpura (ITP). Sri Lanka Journal of Medicine. 27(1), pp.66–68. DOI: http://doi.org/10.4038/sljm.v27i1.80
Published on 30 Jun 2018.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus