Splenectomy for Torsion of a Wandering Spleen in a Patient with Myeloproliferative Disease |
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| Authors: | 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 Makoto Saegusa |
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| Affiliation: | 1.Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan; 2.Department of Hematology, Kitasato University School of Medicine, Japan; 3.Department of Surgery, Kitasato University School of Medicine, Japan; 4.Department of Pathology, Kitasato University School of Medicine, Japan |
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| Abstract: | ![]()
We 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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| Keywords: | torsion wandering spleen splenectomy splenomegaly |
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