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Case Reports
Splenectomy for Torsion of a Wandering Spleen in a Patient with Myeloproliferative Disease: A Case Report.
- Kana Imawari, Haruki Uojima, Kei Hayama, Fujio Toshimitsu, Itaru Sanoyama, Shuichiro Iwasaki, Naohisa Wada, Kousuke Kubota, Hisashi Hidaka, Takahide Nakazawa, Akitaka Shibuya, Takahiro Suzuki, Yusuke Kumamoto, and Makoto Saegusa.
- Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan.
- Intern. Med. 2022 Jul 15; 61 (14): 2143-2148.
AbstractWe herein report a rare case of torsion of a wandering spleen in a patient with myeloproliferative disease. A 66-year-old Japanese woman presented to our hospital with abdominal pain and a fever. She had a medical history of polycythemia and secondary myelofibrosis. Abdominal enhanced computed tomography showed an enlarged spleen without enhancement in the lower pelvic region. The clinical diagnosis was severe torsion of a wandering spleen in a patient with myeloproliferative disease, necessitating surgical intervention. Splenectomy was performed after de-rotating to revascularize the spleen. After the operation, the platelet count gradually increased, and aspirin was administered to prevent thrombosis.
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