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

Radiology Case Reports

Omeed Jazayeri-Moghaddas, MD¹  Elie Barakat, MD²  Christopher DeClue, MD²  Clifford Davis, MD²  Michael Markovitz, MD²  Ahmed-Zayn Mohamed, JD³ 

[1] Corresponding author.;University of South Florida, Department of Radiology, 12901 Bruce B. Downs Blvd. MDC 41, Tampa, Florida, 33612;University of South Florida, Morsani College of Medicine, 12901 Bruce B. Downs Blvd. MDC 41, Tampa, Florida, 33612;

关键词: Splenic;    Embolization;    Pleural;    Effusion;    Portal;    Hypertension;   

DOI  :  

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown