A patient on maintenance hemodialysis with improvement of cytopenia after partial splenic artery embolization for hepatic cirrhosis-associated hypersplenism：A case report

Abstract

A 63-year-old woman visited our hospital for the treatment of liver cirrhosis and chronic renal failure. Three years ago, she developed anemia and thrombocytopenia. Furthermore, she was diagnosed with hypersplenism associated with liver cirrhosis by a hematologist. Two years ago, she was started on maintenance hemodialysis and given an erythropoiesis-stimulating agent for the treatment of anemia. However, its effect was insufficient. Moreover, frequent red blood cell transfusions failed to resolve her anemia. Hence, she was admitted to our hospital, where she underwent partial splenic embolization (PSE). Two months after the procedure, she developed a splenic abscess, which was relieved by drainage and antibiotic administration. Further blood transfusion was not required. There are few reports of PSE in patients with hypersplenism requiring maintenance hemodialysis. We report a case that suggests the usefulness of PSE treatment.