Case Report: Partial Splenic Artery Embolization for the Treatment of Painful Splenomegaly Secondary to Noncirrhotic Portal Hypertension.

Case Reports in Hepatology Pub Date : 2025-06-06 eCollection Date: 2025-01-01 DOI:10.1155/crhe/9303407
Logan Kratzer, Maddison Waters, Simon Parkes, Nicholas Cheung, Nicholas Shackel
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引用次数: 0

Abstract

Noncirrhotic portal hypertension (NCPH) is a rare cause of portal hypertension with varied etiologies. We present two cases of painful splenomegaly secondary to NCPH successfully treated with partial splenic artery embolization (PSE). Despite limited literature on PSE's efficacy for NCPH-related painful splenomegaly, our cases demonstrate significant pain relief and reduction in opiate dependence postprocedure. Imaging revealed substantial decreases in spleen size without major complications. PSE emerges as a promising therapeutic option for NCPH-related painful splenomegaly, offering improved quality of life and reduced reliance on analgesics.

病例报告:部分脾动脉栓塞治疗继发于非肝硬化门脉高压的疼痛性脾大。
非肝硬化门静脉高压症(NCPH)是一种罕见的门静脉高压症,病因多样。我们报告了两例继发于NCPH的疼痛性脾肿大,并成功地采用部分脾动脉栓塞(PSE)治疗。尽管关于PSE治疗nphh相关的疼痛性脾肿大的疗效的文献有限,但我们的病例显示手术后疼痛明显缓解,阿片类药物依赖减少。影像学显示脾脏体积明显减小,无主要并发症。PSE是治疗ncph相关脾肿大的一种很有前景的治疗选择,可以改善生活质量,减少对镇痛药的依赖。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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