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  • Ultraselective angioembolisation of splenic artery for atraumatic spleen rupture in a patient of systemic lupus erythematosus

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Case Reports: Rare disease
Ultraselective angioembolisation of splenic artery for atraumatic spleen rupture in a patient of systemic lupus erythematosus
  1. Arwa Bohra1,
  2. Nitish Mundodi Shashidhara1,
  3. Nadeemur Rahman2 and
  4. Vaibhav Ingle1
  1. 1General Medicine, All India Institute of Medical Sciences Bhopal, Bhopal, India
  2. 2Radiodiagnosis, All India Institute of Medical Sciences Bhopal, bhopal, India
  1. Correspondence to Dr Vaibhav Ingle; vaibhav.genmed{at}aiimsbhopal.edu.in

Abstract

A systemic lupus erythematosus (SLE) patient in her mid-30s presented with spontaneous splenic haematoma and rupture. She rapidly deteriorated despite packed red cells and fresh frozen plasma transfusions. She underwent emergent ultraselective angioembolisation of the splenic artery and got stabilised. Spontaneous or atraumatic splenic rupture is rare in SLE and splenic artery embolisation may be life-saving.

  • Immunology
  • Adult intensive care
  • Interventional radiology

https://doi.org/10.1136/bcr-2023-255097

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    Footnotes

    • X @dr_arewah_bohra

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: AB, NMS, NR and VI. The following authors gave final approval of the manuscript: AB, NMS, NR and VI.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.