Presentation
The patient suffering from advanced liver cirrhosis with decompensation underwent a transjugular intrahepatic portosystemic shunt (TIPS) procedure and interventional splenic artery embolisation as an alternative to splenectomy for the treatment of hypersplenism.
Patient Data
TIPS is noted in the scout.
CT axial cuts indicate the presence of a cirrhotic liver pattern. A Rim of fluid is observed along the caudal tip of the liver with peritoneal fat stranding.
CT axial, sagittal, and coronal Porto venous images depict global splenic infarction and liquefaction after splenic artery coiling. The absence of air and the presence of a traversing vessel rule out splenic abscess.
Case Discussion
This case illustrates a typical scenario of global splenic infarction post IR splenic artery embolisation.