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Case Reports
. 2021 Aug 19;13(3):145-147.
doi: 10.4103/jgid.jgid_140_20. eCollection 2021 Jul-Sep.

Splenic Artery Embolization in Subcapsular Splenic Hematoma Secondary to Dengue Hemorrhagic Fever

Sameera S Dronamraju  1 , Shilpa Abhay Gaidhane  2 , Khatib Nazli Mahalaqqa  3 , Abhay M Gaidhane  4 , Amol G Andhale  2 , Zahiruddin Syed Quazi  4
Affiliations
Case Reports

Splenic Artery Embolization in Subcapsular Splenic Hematoma Secondary to Dengue Hemorrhagic Fever

Sameera S Dronamraju et al. J Glob Infect Dis. .

Abstract

Dengue hemorrhagic fever (DHF) is a common syndrome of dengue viral infection but complications such as sub-capsular splenic hematoma leading to capsular rupture in dengue are rare. We report a case of a young male who presented with fever, breathlessness, and acute abdomen. His CT of the abdomen revealed subcapsular splenic hematoma measuring 16.7 cm × 13.0 cm × 11 cm. His laboratory parameters were suggestive of anemia, thrombocytopenia, acute kidney injury, coagulopathy, and hepatopathy because of which instead of splenectomy, splenic artery embolization with ultrasound-guided splenic hemorrhage drainage was performed for his management as his clinical condition deteriorated. This case report sensitizes newer modalities of treatment of subcapsular splenic hematoma with splenic arterial embolization.

Keywords: Case report; dengue hemorrhagic fever; splenic artery embolization; sub-capsular splenic hematoma.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Computed tomography scan of the abdomen suggestive of a large subcapsular splenic hematoma
Figure 2
Figure 2
(a) Preembolisation and (b) postembolisation procedure of splenic artery
See this image and copyright information in PMC

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