Digestive Diseases and Sciences

, Volume 29, Issue 12, pp 1159–1163 | Cite as

Acute gastric hemorrhage secondary to wandering spleen

  • Ulf Angerås
  • Bengt Almskog
  • Pavel Lukes
  • Sven Lundstam
  • Lilian Weiss
Case Report


A patient presenting with acute life-threatening upper gastrointestinal hemorrhage caused by a wandering spleen is reported. Emergency laparotomy revealed profuse gastric bleeding, large engorged varicose veins in the gastric wall, and a normal liver parenchyma. Gastroscopy after arrest of the hemorrhage showed varicose veins in the fundus without esophageal varices. Angiography revealed an ectopic spleen, occlusion of the splenic vein, and large venous collaterals in the gastric fundus. Elective splenectomy was performed. Wandering spleen as a cause of left-sided portal hypertension, also referred to as segmental splenic hypertension, is discussed.


Public Health Hypertension Portal Hypertension Gastrointestinal Hemorrhage Normal Liver 


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Copyright information

© Plenum Publishing Corporation 1984

Authors and Affiliations

  • Ulf Angerås
    • 1
  • Bengt Almskog
    • 1
  • Pavel Lukes
    • 1
  • Sven Lundstam
    • 1
  • Lilian Weiss
    • 1
  1. 1.Departments of Surgery and Diagnostic Radiology, Östra sjukhusetUniversity of GöteborgGöteborgSweden

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