BAHU S. SHAIKH, M.D.; GARY G. NICHOLAS, M.D., F.A.C.S.; FRANKLIN J. MILLER, M.D.
Dearterialization of the spleen for hypersplenism secondary to portal hypertension was first undertaken in 1918 by Blain (1), who reported on a patient in whom splenic arterial ligation was done for Banti's syndrome. Chung and Reuter (2) embolized the splenic artery in dogs and found the spleen to be shrunken and fibrosed at 8 weeks. Maddison (3) reported a successful medical splenectomy in a patient who underwent selective splenic arterial embolization.
The following report illustrates the course of a patient in whom correction of hypersplenic thrombocytopenia was accomplished by splenic embolization.
A 54-year-old woman was referred to the hospital because
SHAIKH BS, NICHOLAS GG, MILLER FJ. Splenic Embolization in Hypersplenic Thrombocytopenia. Ann Intern Med. ;86:445–446. doi: 10.7326/0003-4819-86-4-445
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Published: Ann Intern Med. 1977;86(4):445-446.
Hematology/Oncology, Platelet Disorders.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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