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通往脾动脉结扎术的桥梁:肝脾型血吸虫病中的脾动脉栓塞术

A Bridge to Banding: Splenic Artery Embolization in Hepatosplenic Schistosomiasis.

作者信息

Hassan Noor, Mohamed Islam, Rajab Rawan, Campbell Jack, Zulqarnain Mir, Sadeddin Esmat, Ghoz Hassan

机构信息

Department of Internal Medicine, University of Missouri-Kansas City, Kansas City, MO.

Department of Gastroenterology, University of Missouri-Kansas City, Kansas City, MO.

出版信息

ACG Case Rep J. 2023 May 24;10(5):e01064. doi: 10.14309/crj.0000000000001064. eCollection 2023 May.

Abstract

Schistosomiasis is a parasitic infection endemic to sub-Saharan Africa. The severe form of disease, caused by deposition of eggs in the portal vein, is known as hepatosplenic schistosomiasis. We present a case of a 26-year-old woman with esophageal varices in the setting of hepatosplenic schistosomiasis. This patient underwent partial splenic artery embolization to treat thrombocytopenia secondary to splenic sequestration. After embolization and improvement of cell counts, the patient was successfully able to undergo variceal band ligation.

摘要

血吸虫病是撒哈拉以南非洲地区特有的一种寄生虫感染病。由虫卵沉积在门静脉导致的严重疾病形式被称为肝脾型血吸虫病。我们报告一例26岁患有肝脾型血吸虫病并伴有食管静脉曲张的女性病例。该患者接受了部分脾动脉栓塞术以治疗因脾淤血导致的血小板减少症。栓塞术后血细胞计数改善,患者成功接受了曲张静脉套扎术。

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