Splenectomy for Torsion of a Wandering Spleen in a Patient with Myeloproliferative Disease.

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.

• 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
• Journal: Internal medicine (Tokyo, Japan) (Intern Med) Vol. 61 Issue 14 Pg. 2143-2148 (Jul 15 2022) ISSN: 1349-7235 [Electronic] Japan
• PMID: 34897151 (Publication Type: Case Reports, Journal Article)

Topics

• Abdominal Pain (etiology)
• Aged
• Female
• Humans
• Myeloproliferative Disorders (complications)
• Splenectomy (methods)
• Torsion Abnormality (complications, diagnostic imaging)
• Wandering Spleen (complications, diagnostic imaging, surgery)