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CASE REPORT
Severe thrombocytopenia due to hypersplenism treated with partial splenic embolisation
  1. Mohammad Hanafiah1,2,
  2. Azura Mohamed Mukhari Shahizon2,
  3. Soo Fin Low2,
  4. Man Harun Shahrina3
  1. 1Department of Radiology, MARA University of Technology, Sungai Buloh, Selangor, Malaysia
  2. 2Department of Radiology, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia
  3. 3Department of Radiology, Pantai Hospital, Bangsar, Kuala Lumpur, Malaysia
  1. Correspondence to Dr Mohammad Hanafiah, mhanafiah8804{at}gmail.com

Summary

A 35-year-old woman with background of liver cirrhosis and portal hypertension secondary to chronic hepatitis C presented with complication of hypersplenism and thrombocytopenia. She developed severe menorrhagia requiring multiple blood transfusions. In addition, her interferon therapy was withheld owing to the underlying thrombocytopenia. Partial splenic embolisation was performed, which improved her platelet counts. Subsequently, the menorrhagia was resolved and her interferon therapy was restarted.

https://doi.org/10.1136/bcr-2013-010163

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