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Successful Treatment of Spontaneous Rupture of the Spleen by Embolization of Splenic Artery in a Patient with Acute Promyelocytic Leukaemia and COVID-19 Infection

Successful Treatment of Spontaneous Rupture of the Spleen by Embolization of Splenic Artery in a Patient with Acute Promyelocytic Leukaemia and COVID-19 Infection
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摘要 Spontaneous rupture of the spleen (SRS) is a rare clinical entity with a potentially poor medical outcome. In most cases, SRS is caused by neoplastic disorder. Acute promyelocytic leukaemia is a rare but important cause of SRS that physicians are required to assess for. We present a 28-year-old woman with APL and COVID-19 pneumonia, who successfully underwent embolisation of the splenic artery for spontaneously occurring splenic rupture during induction chemotherapy. After the intervention the patient completed induction chemotherapy and achieved complete remission. Our case demonstrates that emergent transcatheter arterial embolisation can be lifesaving even in the unfavourable condition of a patien</span></span><span style="font-family:Verdana;"></span><span style="font-family:Verdana;"><span style="font-family:Verdana;">t with severe immune deficiency. Spontaneous rupture of the spleen (SRS) is a rare clinical entity with a potentially poor medical outcome. In most cases, SRS is caused by neoplastic disorder. Acute promyelocytic leukaemia is a rare but important cause of SRS that physicians are required to assess for. We present a 28-year-old woman with APL and COVID-19 pneumonia, who successfully underwent embolisation of the splenic artery for spontaneously occurring splenic rupture during induction chemotherapy. After the intervention the patient completed induction chemotherapy and achieved complete remission. Our case demonstrates that emergent transcatheter arterial embolisation can be lifesaving even in the unfavourable condition of a patien</span></span><span style="font-family:Verdana;"></span><span style="font-family:Verdana;"><span style="font-family:Verdana;">t with severe immune deficiency.
作者 Olivera Markovic Anica Divac Filip Lukic Davor Mrda Ana Vidovic Marija Zdravkovic Borislav Toskovic Olivera Markovic;Anica Divac;Filip Lukic;Davor Mrda;Ana Vidovic;Marija Zdravkovic;Borislav Toskovic(Department of Haematology, Clinical Hospital Centre “Bezanijska Kosa”, Belgrade, Serbia;Faculty of Medicine, Belgrade, Serbia;Department of Radiology, Clinical Hospital Centre “Bezanijska Kosa”, Belgrade, Serbia;Clinic of Haematology, Clinical Centre of Serbia, Belgrade, Serbia;Department of Cardiology, Clinical Hospital Centre “Bezanijska Kosa”, Belgrade, Serbia;Department of Surgery, Clinical Hospital Centre “Bezanijska Kosa”, Belgrade, Serbia)
出处 《Open Journal of Emergency Medicine》 2021年第3期60-65,共6页 急诊医学(英文)
关键词 Acute Promyelocytic Leukaemia COVID-19 Embolisation of Splenic Artery Splenic Rupture Acute Promyelocytic Leukaemia COVID-19 Embolisation of Splenic Artery Splenic Rupture
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