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Splenic artery embolization complicated by pleural effusion.
Pandey, Mandvi; Mathew, Joscilin; Majzoub, Reham; Nugent, Kenneth.
Afiliação
  • Pandey M; Department of Internal Medicine, Texas Health Resources, Denton Texas, USA.
  • Mathew J; Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, USA.
  • Majzoub R; Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, USA.
  • Nugent K; Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, USA. Electronic address: Kenneth.nugent@ttuhsc.edu.
Am J Med Sci ; 2024 Jun 24.
Article em En | MEDLINE | ID: mdl-38925428
ABSTRACT
This case report and review describes a 31-year-old man with a history of chronic pancreatitis who presented to the hospital with shortness of breath and left-sided chest pain. Three days prior, he underwent mid-splenic artery embolization due to hematemesis attributed to a splenic artery pseudoaneurysm associated with a peripancreatic pseudocyst. Upon this presentation, the patient reported increasing shortness of breath, left-sided pleuritic chest pain, and epigastric and left upper quadrant abdominal pain. Imaging revealed left pleural effusion, splenic infarcts, and adjacent fluid collections. Thoracentesis confirmed an exudative effusion. The pleural effusion was attributed to recent splenic artery embolization, and the patient was discharged on appropriate medications in stable condition on the sixth day of hospitalization. This case underscores the importance of considering embolization-related complications in the differential diagnosis of pleural effusions following such procedures. The etiology, diagnosis, and management of splenic artery aneurysms are discussed in this review.
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Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article