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
P. B. Hewavithana,
Teaching Hospital Peradeniya, LK
About P. B.
Department of Radiology
Department of Radiology, Faculty of Medicine, University of Peradeniya
R. M. P. Manel Rathnayake,
University of Peradeniya, LK
About R. M. P. Manel
Department of Pathology, Faculty of Medicine
A. U. B. Pethiyagoda
University of Peradeniya, LK
About A. U. B.
Department of Surgery, Faculty of Medicine
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., Hewavithana, P.B., Rathnayake, R.M.P.M. and Pethiyagoda, A.U.B., 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
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