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.
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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, 1978
Gordon D, Burrell M, Levin D, Mueller C, Becker J: Wandering spleen — the radiological and clinical spectrum.Radiology 125:39–46, 1977
Bosniak M, Byck W: Wandering spleen diagnosed preoperatively by intravenous aortography.Am J Roentgenol Radium Ther Nucl Med 84:898–901, 1960
Carswell JW: Wandering spleen: 11 cases from Uganda.Br J Surg 61:495–497, 1974
Abell I: Wandering spleen with torsion of the pedicle.Ann Surg 98:722–735, 1933
DeBartolo H Jr, van Heerden J, Lynn H, Norris D: Torsion of the spleen, a case report.Mayo Clin Proc 48:783–786, 1973
Hatfield P, Clouse M, Cady B: Ectopic pelvic spleen.Arch Surg 111:603–605, 1976
Marshall J II, Smith P, Hoyumpa A Jr: Gastric varices, problem in diagnosis.Am J Dig Dis 22:947–955, 1977
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Sorgen, R.A., Robbins, D.I. Bleeding gastric varices secondary to wandering spleen. Gastrointest Radiol 5, 25–27 (1980). https://doi.org/10.1007/BF01888595
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DOI: https://doi.org/10.1007/BF01888595