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Spontaneous Splenic Rupture in a Vivax Malaria Case Treated with Transcatheter Coil Embolization of the Splenic Artery

机译:经导管介入脾动脉栓塞治疗Vivax疟疾病例中的自发性脾破裂

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摘要

An enlarged spleen is considered one of the most common signs of malaria, and splenic rupture rarely occurs as an important life-threatening complication. Splenectomy has been recommended as the treatment of choice for hemodynamically unstable patients. However, a very limited number of splenic rupture patients have been treated with transcatheter coil embolization. Here we report a 38-year-old Korean vivax malaria patient with ruptured spleen who was treated successfully by embolization of the splenic artery. The present study showed that angiographic embolization of the splenic artery may be an appropriate option to avoid perioperative harmful effects of splenectomy in malaria patients.
机译:脾脏肿大被认为是疟疾的最常见征兆之一,脾破裂很少作为威胁生命的重要并发症发生。脾切除术已被推荐为血液动力学不稳定患者的首选治疗方法。但是,已经有非常有限的脾破裂患者接受了经导管线圈栓塞治疗。在这里,我们报告了一名38岁的韩国间日疟疾患者,其脾脏破裂,经脾动脉栓塞成功治疗。本研究表明,脾动脉的血管造影栓塞术可能是避免对疟疾患者进行脾切除术围手术期有害影响的适当选择。

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