部分脾栓塞术治疗门静脉系统血栓形成患者的复发性左侧胸腔积液。

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

作者信息

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

机构信息

University of South Florida, Morsani College of Medicine, 12901 Bruce B. Downs Blvd. MDC 41, Tampa, Florida, 33612.

University of South Florida, Department of Radiology, 12901 Bruce B. Downs Blvd. MDC 41, Tampa, Florida, 33612.

出版信息

Radiol Case Rep. 2021 May 24;16(7):1862-1864. doi: 10.1016/j.radcr.2021.04.051. eCollection 2021 Jul.

DOI:10.1016/j.radcr.2021.04.051

PMID:34149975

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8189874/

Abstract

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.

摘要

一名56岁患有血小板增多症并伴有门静脉系统血栓形成的女性，在外院经机械取栓和支架置入术再通失败后，反复出现左侧胸腔积液。在无其他病因的情况下，提示脾静脉血栓形成和左侧门静脉高压可能是病因。进行了部分脾栓塞术，术后胸腔积液立即减少，并在8周内消退。门静脉和脾静脉系统血栓形成可能因左侧门静脉高压和液体通过膈肌缺损漏出而导致反复胸腔积液。上极部分脾栓塞术可治疗反复出现的左侧胸腔积液，并为脾切除术提供了一种替代方法。