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An Unusual Reason for Gastric Variceal Hemorrhage: Wandering Spleen

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Abstract

Wandering spleen is the displacement of the spleen due to the loss or weakening of the ligaments of the spleen and is seen very rarely with an incidence of less than 0.5 %. It can cause portal hypertension, but gastric variceal hemorrhage is a quite rare condition within the spectrum of this uncommon disease. We report a 22-year-old woman with wandering spleen presenting with life-threatening gastric variceal hemorrhage. Her diagnosis was made by computerized tomography. Endoscopic therapy was not adequate to stop the bleeding, and urgent splenectomy was performed. After surgery she has been well with no symptoms until now.

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References

  1. Irak K, Esen I, Keskin M et al (2011) A case of torsion of the wandering spleen presenting as hypersplenism and gastric fundal varices. Turk J Gastroenterol 22:93–97

    PubMed  Google Scholar 

  2. Desai DC, Hebra AI, Davidoff AM, Schnaufer L (1997) Wandering spleen: a challenging diagnosis. South Med J 90:439–443

    Article  PubMed  CAS  Google Scholar 

  3. Moran J, Shah U, Singer JA (2003) Spontaneous rupture of a wandering spleen: case report and literature review. Curr Surg 60:310–312

    Article  PubMed  Google Scholar 

  4. Wani S, Abdulkarim AB, Buckles D (2008) Gastric variceal hemorrhage secondary to torsion of wandering spleen. Clin Gastroenterol Hepatol 6:A24

    Article  PubMed  Google Scholar 

  5. Angeras U, Almskog B, Lukes P, Lundstam S, Weiss L (1984) Acute gastric hemorrhage secondary to wandering spleen. Dig Dis Sci 29:1159–1163

    Article  PubMed  CAS  Google Scholar 

  6. Burdick JS, Tompson ML (2006) Anatomy, histology, embryology, and developmental anomalies of the pancreas. In: Feldman M, Friedman LS, Brandt LJ (eds) Gastrointestinal and liver disease, 8th edn. Saunders Elsevier, Philadelphia, p 1298

    Google Scholar 

  7. Lam Y, Yuen KK, Chong LC (2012) Acute torsion of a wandering spleen. Hong Kong Med J 18:160–162

    PubMed  CAS  Google Scholar 

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The authors declare that they have no conflict of interest.

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Correspondence to Hüseyin Köseoğlu.

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Köseoğlu, H., Atalay, R., Büyükaşık, N.Ş. et al. An Unusual Reason for Gastric Variceal Hemorrhage: Wandering Spleen. Indian J Surg 77 (Suppl 2), 750–751 (2015). https://doi.org/10.1007/s12262-013-0993-2

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  • DOI: https://doi.org/10.1007/s12262-013-0993-2

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