Gastrointestinal Radiology

, Volume 5, Issue 1, pp 25–27 | Cite as

Bleeding gastric varices secondary to wandering spleen

  • Richard A. Sorgen
  • David I. Robbins
Article

Abstract

A case of bleeding gastric varices produced by a “wandering spleen” is presented, the first report in the literature of such a complication. Ectopic position of the spleen is most often diagnosed following evaluation for abdominal pain or detection of an asymptomatic mass. In our patient, torsion of the splenic pedicle produced gastric fundal varices. These were demonstrated on upper gastrointestinal series and confirmed at splenectomy.

Key Words

Wandering spleen Gastric varices 

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References

  1. 1.
    Muckmel E, Zer M, Dintsman M: Wandering spleen with torsion of pedicle in a child presenting as an intermittently-appearing abdominal mass.J Ped Surg 13:127–128, 1978Google Scholar
  2. 2.
    Gordon D, Burrell M, Levin D, Mueller C, Becker J: Wandering spleen — the radiological and clinical spectrum.Radiology 125:39–46, 1977PubMedGoogle Scholar
  3. 3.
    Bosniak M, Byck W: Wandering spleen diagnosed preoperatively by intravenous aortography.Am J Roentgenol Radium Ther Nucl Med 84:898–901, 1960Google Scholar
  4. 4.
    Carswell JW: Wandering spleen: 11 cases from Uganda.Br J Surg 61:495–497, 1974PubMedGoogle Scholar
  5. 5.
    Abell I: Wandering spleen with torsion of the pedicle.Ann Surg 98:722–735, 1933Google Scholar
  6. 6.
    DeBartolo H Jr, van Heerden J, Lynn H, Norris D: Torsion of the spleen, a case report.Mayo Clin Proc 48:783–786, 1973PubMedGoogle Scholar
  7. 7.
    Hatfield P, Clouse M, Cady B: Ectopic pelvic spleen.Arch Surg 111:603–605, 1976PubMedGoogle Scholar
  8. 8.
    Marshall J II, Smith P, Hoyumpa A Jr: Gastric varices, problem in diagnosis.Am J Dig Dis 22:947–955, 1977PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1980

Authors and Affiliations

  • Richard A. Sorgen
    • 1
  • David I. Robbins
    • 1
  1. 1.Department of RadiologySt. Vincent's Medical CenterBridgeportUSA

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