Wandering spleen as a cause of sinistral portal hypertension

Authors

Keywords:

Case report, Spleen, Wandering spleen, Segmental portal hypertension, Acute abdomen

Abstract

Wandering spleen (WS) is a rare entity characterized by laxity of peritoneal ligaments that hold the spleen stationary. It is most commonly diagnosed in children and young women. Clinical presentation ranges from asymptomatic to acute abdomen. A 19-yearold woman came to the emergency department with history of progressive abdominal pain. She also had previous episodes of hematemesis. A computed tomography scan showed an ectopic spleen with a “whirlpool sign.” Laparotomy and splenectomy were performed. WS is characterized by a long vascular pedicle and laxity of peritoneal attachments of the spleen. The etiology is usually congenital. Splenopexy is the main treatment; however, splenectomy is indicated when splenic infarction is present. Despite being rare, this condition may be considered in some cases of abdominal pain. An earlier diagnosis would have allowed us to perform a splenopexy, thus reducing morbidity.

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Author Biographies

Rodrigo Piltcher da Silva, Hospital de Clínicas de Porto Alegre

General Surgery Resident

Vicente Lobato Costa, Hospital de Clínicas de Porto Alegre

General Surgery Resident

Caroline Losekann, Hospital de Clínicas de Porto Alegre

Thoracic Surgery

Luiz Roberto Rigo Wendt, Hospital de Clínicas de Porto Alegre

General Surgery Staff, MD, PhD

Eduardo Neubarth Trindade, Hospital de Clínicas de Porto Alegre

Digestive Surgery Staff, MD, PhD

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Published

2021-07-26

How to Cite

1.
da Silva RP, Costa VL, Losekann C, Wendt LRR, Trindade EN. Wandering spleen as a cause of sinistral portal hypertension. Clin Biomed Res [Internet]. 2021Jul.26 [cited 2022May21];41(2). Available from: https://www.seer.ufrgs.br/index.php/hcpa/article/view/108703

Issue

Section

Case Report