Intraoperative acute tumor lysis syndrome during laparoscopic splenectomy preceded by splenic artery embolization

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Abstract

Laparoscopic resection has become the standard of care for routine splenectomy. Preoperative splenic artery embolization for massive splenomegaly has been described to allow a laparoscopic approach in previously ineligible laparoscopic candidates. Our case describes an intraoperative cardiac arrest secondary to tumor lysis after preoperative splenic artery embolization. The patient recovered fully after suffering acute renal failure requiring dialysis for 6 weeks postoperatively. Caution using this approach is necessary to avoid this rare and potentially lethal complication.

Original languageEnglish
Pages (from-to)210-211
Number of pages2
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume17
Issue number3
DOIs
StatePublished - Jun 2007

Keywords

  • Laparoscopic splenectomy
  • Splenic artery embolization
  • Tumor lysis syndrome

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