Partial splenic artery embolization (PSE) in a patient with grey platelet syndrome (GPS): a case report
Egyptian Journal of Radiology and Nuclear Medicine(2022)
摘要
Background Grey platelet syndrome (GPS) is a rare cause of mild-to-severe bleeding. Up till now, there has been no definite treatment for GPS. Case presentation We reported a case diagnosed as GPS and presented with menorrhagia, metrorrhagia, gingival bleeding, and left hypochondrial pain. The platelet count was 18 thousand/cmm. Ultrasound splenic diameter was 22.0 cm. The multidisciplinary team decided to perform splenectomy; however, the patient was unfit for surgery. Partial splenic artery embolization (PSE) was performed. Follow-up after 24 months showed a normal menstrual cycle and absent pain. Platelet count rise to 70, 55, and 51 thousand/cmm after 1, 12, and 24 months, respectively. Splenic diameter showed a significant decrease to 11.2 cm after 24 months. Conclusion PSE is effective and safe in symptomatic patients with GPS.
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关键词
Grey platelet syndrome,Thrombocytopenia,Splenomegaly,Partial splenic artery embolization,Case report
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