2011Journal of Pediatric Hematology/OncologyOpen access

Subtotal Splenic Embolization is a Safe and Effective Treatment for Isolated Splenic Vascular Tumors Associated With Consumptive Coagulopathy

Eric H. Raabe, Jeffrey R. Keefer, Sally E. Mitchell, Kelvin Hong, Marc DiFazio, John J. Strouse

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Abstract

Consumptive coagulopathy is a known complication of large vascular tumors. We describe 2 episodes of consumptive coagulopathy in young children, which were secondary to isolated splenic vascular tumors. One child was successfully treated by subtotal embolization of the spleen, whereas the second child required splenectomy after an initial embolization improved--but did not fully control--his consumptive coagulopathy.

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What this paper is about

Consumptive coagulopathy is a known complication of large vascular tumors. We describe 2 episodes of consumptive coagulopathy in young children, which were secondary to isolated splenic vascular tumors. One child was successfully treated by subtotal embolization of the spleen, whereas the second child required splenectomy after an initial embolization improved--but did not fully control--his consumptive coagulopathy.

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Available abstract

Consumptive coagulopathy is a known complication of large vascular tumors. We describe 2 episodes of consumptive coagulopathy in young children, which were secondary to isolated splenic vascular tumors. One child was successfully treated by subtotal embolization of the spleen, whereas the second child required splenectomy after an initial embolization improved--but did not fully control--his consumptive coagulopathy.

Key concepts: Medicine, Coagulopathy, Consumptive Coagulopathy, Embolization, Splenectomy, Spleen, Kasabach–Merritt syndrome, Complication

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