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Protracted pain following partial splenic embolization in an adolescent female with hypersplenism

Authors


Dr Arjunan Ganesh, Department of Anesthesiology and Critical Care, The Children's Hospital of Philadelphia, 34th and Civic Center Blvd, Philadelphia, PA 19010, USA (email: ganesha@email.chop.edu).

Summary

A 17-year-old female with massive splenomegaly underwent partial splenic embolization (PSE) for hypersplenism. The postoperative course was characterized by recurrent painful splenic infarctions requiring hydromorphone PCA for an extended period resulting in an unanticipated, prolonged hospital stay. Massive splenomegaly treated with PSE may require an extended hospital stay to achieve pain control. Such patients may subsequently require transition to enteral opioids and weaning.

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