Assuntos
Imageamento por Ressonância Magnética/métodos , Neoplasias da Próstata/diagnóstico por imagem , Conduta Expectante/métodos , Biópsia , Análise Custo-Benefício , Humanos , Imageamento por Ressonância Magnética/economia , Masculino , Neoplasias da Próstata/patologia , Medição de Risco , Conduta Expectante/economiaAssuntos
Humanos , Masculino , Neoplasias da Próstata/diagnóstico por imagem , Imageamento por Ressonância Magnética/métodos , Conduta Expectante/métodos , Neoplasias da Próstata/patologia , Biópsia , Imageamento por Ressonância Magnética/economia , Análise Custo-Benefício , Medição de Risco , Conduta Expectante/economiaRESUMO
We present a case of a patient with hypersplenism secondary to portal hypertension due to hepato-splenic schistosomiasis, which was accompanied by severe and refractory thrombocytopenia. We performed spleen ablation and measured the total spleen and ablated volumes with contrast-enhanced computed tomography and volumetry. No major complications occurred, thrombocytopenia was resolved, and platelet levels remained stable, which allowed for early treatment of the patient's underlying disease. Previous work has shown that splenic radiofrequency ablation is an attractive alternative treatment for hypersplenism induced by liver cirrhosis. We aimed to contribute to the currently sparse literature evaluating the role of radiofrequency ablation (RFA) in the management of hypersplenism. We conclude that splenic RFA appears to be a viable and promising option for the treatment of hypersplenism.
