Parasites, Hosts and Diseases

The Korea Society for Parasitology and Tropical Medicine (대한기생충학·열대의학회)
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Spontaneous Splenic Rupture in a Vivax Malaria Case Treated with Transcatheter Coil Embolization of the Splenic Artery

  • Kim, Na Hee (Department of Radiology, Inha University Hospital, Inha University School of Medicine) ;
  • Lee, Kyung Hee (Department of Radiology, Inha University Hospital, Inha University School of Medicine) ;
  • Jeon, Yong Sun (Department of Radiology, Inha University Hospital, Inha University School of Medicine) ;
  • Cho, Soon Gu (Department of Radiology, Inha University Hospital, Inha University School of Medicine) ;
  • Kim, Jun Ho (Department of Radiology, Inha University Hospital, Inha University School of Medicine)
  • Received : 2014.10.02
  • Accepted : 2015.01.01
  • Published : 2015.04.30
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Abstract

An enlarged spleen is considered one of the most common signs of malaria, and splenic rupture rarely occurs as an important life-threatening complication. Splenectomy has been recommended as the treatment of choice for hemodynamically unstable patients. However, a very limited number of splenic rupture patients have been treated with transcatheter coil embolization. Here we report a 38-year-old Korean vivax malaria patient with ruptured spleen who was treated successfully by embolization of the splenic artery. The present study showed that angiographic embolization of the splenic artery may be an appropriate option to avoid perioperative harmful effects of splenectomy in malaria patients.

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References

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