Current position of angioembolization in the management of therapy of the injured spleen – two case reports

Czech version

Authors: A. Zatloukal
Authors‘ workplace: Chirurgická klinika LF OU a FN Ostrava
Published in: Rozhl. Chir., 2025, roč. 104, č. 9, s. 414-417.
Category: Case Report
doi: https://doi.org/10.48095/ccrvch2025414

Overview

Introduction: The author presents two case reports of the use of angioembolization in the therapy of bleeding from an injured spleen, he discusses indications, benefits and risks of its use.

The case reports: Two case reports of use of angioembolization in the treatment grade 3 spleen injury are presented. In both patients, we were successful in salvaging the spleen, but in both cases it was complicated by febrile reaction and considerable elevation of CRP, which required administration of antibiotics and even elective splenectomy was considered. The question is whether angioembolization was not rather counterproductive in these patients.

Conclusion: Angioembolization is a first choice method in hemodynamicaly stable patients with active bleeding from an injured spleen, but it has also some drawbacks and some, not negligible, morbidity. It should not be overused in patients who do not fulfill the criteria for its use.

Keywords:

Spleen – embolization – injury – case report

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MUDr. Aleš Zatloukal

Chirurgická klinika

LF OU a FN Ostrava

17. listopadu 1790/5

708 52 Ostrava-Poruba

ales.zatloukal@fno.cz