Zhu GZ, Ji DH. Successful splenic artery embolization in a patient with Behçet’s syndrome-associated splenic rupture: A case report. World J Gastrointest Surg 2024; 16(4): 1184-1188 [PMID: 38690059 DOI: 10.4240/wjgs.v16.i4.1184]
Corresponding Author of This Article
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
Research Domain of This Article
Immunology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
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.
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.
