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Colonic Obstruction Caused by Adhesive Splenomegaly: Report of a Case

  • Case Reports
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Diseases of the Colon & Rectum

INTRODUCTION

Splenomegaly caused by hematologic or infectious diseases is a well-known complication that may cause discomfort because of increased intra-abdominal pressure; however, complete obstruction of the large bowel usually never occurs.

METHODS

We present a case of a 76-year-old male with polycythemia vera admitted with symptoms of complete colonic obstruction. At operation, the descending colon was found to be completely obstructed by a large adhesive spleen. Incision of the adhesions, complete colonoscopy, and mobilization of the colon was performed.

RESULTS

Afterward, the patient had a normal colonic function; however, four days later he had a magnetic resonance-confirmed cerebral thrombosis followed by an episode of aspiration pneumonia, which he died of ten days after the operation.

CONCLUSIONS

Colonic obstruction caused by splenomegaly is extremely rare, but may happen in patients with hematologic diseases.

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REFERENCES

  1. RH Didlake HI Pass S Raju (1980) ArticleTitleColon obstruction secondary to adhesive splenomegaly: a case report J Miss State Med Assoc 21 237–9 Occurrence Handle1:STN:280:Bi6D2cbmt1U%3D Occurrence Handle7431389

    CAS  PubMed  Google Scholar 

  2. DW Milligan AT Raftery (1974) ArticleTitleObservations on the pathogenesis of peritoneal adhesions: a light and electron microscopical study Br J Surg 61 274–80 Occurrence Handle1:STN:280:CSuC2sjjt1Y%3D Occurrence Handle4832632

    CAS  PubMed  Google Scholar 

  3. S Keidar M Freud S Rosenschein J Meir H Rothfeld (1978) ArticleTitleIntestinal obstruction due to a wandering spleen Am J Gastroenterol 69 701–4 Occurrence Handle1:STN:280:CSaD3sbis1Y%3D Occurrence Handle707467

    CAS  PubMed  Google Scholar 

  4. DC Brewster (1973) ArticleTitleSplenosis. Report of two cases and review of the literature Am J Surg 126 14–9 Occurrence Handle1:STN:280:CSyB3cjnvFU%3D Occurrence Handle4714772

    CAS  PubMed  Google Scholar 

  5. KE Halliday E Bellamy BW Ellis (1993) ArticleTitleVolvulus of the splenic flexure and spleen Eur J Surg 159 383–4 Occurrence Handle1:STN:280:ByuD3c3mtFw%3D Occurrence Handle8104504

    CAS  PubMed  Google Scholar 

  6. AJ Megibow EJ Balthazar KC Cho SW Medwid BA Birnbaum ME Noz (1991) ArticleTitleBowel obstruction: evaluation with CT Radiology 180 313–8 Occurrence Handle1:STN:280:By6B1MjgsFw%3D Occurrence Handle2068291

    CAS  PubMed  Google Scholar 

  7. TC Pearson M Messinezy N Westwood et al. (2000) ArticleTitleA Polycythemia Vera updated: diagnosis, pathobiology, and treatment. Hematology (Am Soc Hematol Educ Program) . 51–68

    Google Scholar 

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Authors and Affiliations

  1. Department of Surgical Gastroenterology, Aalborg University Hospital, Aalborg, Denmark

    T. Sommer M.D.

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  1. T. Sommer M.D.
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Correspondence to T. Sommer M.D..

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Sommer, T. Colonic Obstruction Caused by Adhesive Splenomegaly: Report of a Case. Dis Colon Rectum 47, 1738–1739 (2004). https://doi.org/10.1007/s10350-004-0638-4

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  • DOI: https://doi.org/10.1007/s10350-004-0638-4

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