Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Apr 27, 2024; 16(4): 1184-1188
Published online Apr 27, 2024. doi: 10.4240/wjgs.v16.i4.1184
Successful splenic artery embolization in a patient with Behçet’s syndrome-associated splenic rupture: A case report
Guang-Zhao Zhu, Dong-Hua Ji
Guang-Zhao Zhu, Dong-Hua Ji, Department of Interventional Therapy, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, Liaoning Province, China
Author contributions: Zhu GZ and Ji DH carried out the studies, participated in collecting data, and drafted the manuscript. All authors read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dong-Hua Ji, MD, Professor, Department of Interventional Therapy, The First Affiliated Hospital of Dalian Medical University, No. 222 Zhongshan Road, Dalian 116011, Liaoning Province, China. nickji@126.com
Received: October 23, 2023
Peer-review started: October 23, 2023
First decision: January 6, 2024
Revised: February 2, 2024
Accepted: March 6, 2024
Article in press: March 6, 2024
Published online: April 27, 2024
Processing time: 182 Days and 5.9 Hours
Abstract
BACKGROUND

Splenic rupture associated with Behçet’s syndrome (BS) is extremely rare, and there is no consensus on its management. In this case report, a patient with BS-associated splenic rupture was successfully treated with splenic artery embolization (SAE) and had a good prognosis after the intervention.

CASE SUMMARY

The patient was admitted for pain in the left upper abdominal quadrant. He was diagnosed with splenic rupture. Multiple oral and genital aphthous ulcers were observed, and acne scars were found on his back. He had a 2-year history of BS diagnosis, with symptoms of oral and genital ulcers. At that time, he was treated with oral corticosteroids for 1 month, but the symptoms did not alleviate. He underwent SAE to treat the rupture. On the first day after SAE, the patient reported a complete resolution of abdominal pain and was discharged 5 d later. Three months after the intervention, a computed tomography examination showed that the splenic hematoma had formed a stable cystic effusion, suggesting a good prognosis.

CONCLUSION

SAE might be a good choice for BS-associated splenic rupture based on good surgical practice and material selection.

Keywords: Splenic artery embolization; Behçet’s syndrome; Splenic rupture; Case report

Core Tip: This study presents a case of splenic rupture associated with Behçet’s syndrome (BS). BS was confirmed using the International Criteria for Behçet’s Disease. The patient opted for splenic artery embolization (SAE) over splenectomy, resulting in successful hematoma control. The patient’s postoperative recovery was favorable, with no complications, suggesting the effectiveness of SAE in BS-associated splenic rupture management. These findings emphasize the significance of early BS diagnosis and the potential benefits of SAE in selected cases, contributing to the understanding and treatment of this rare but critical manifestation of BS.