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Laparoscopic splenectomy for a wandering spleen complicating gastric varices: report of a case

Authors
  • Sato, Masanori1
  • Miyaki, Yuichiro1
  • Tochikubo, Junpei1
  • Onoda, Takanobu1
  • Shiiya, Norihiko1
  • Wada, Hidetoshi1
  • 1 Hamamatsu University School of Medicine, First Department of Surgery, 1-20-1 Handayama Higashiku, Hamamatsu, Shizuoka, 431-3192, Japan , Hamamatsu (Japan)
Type
Published Article
Journal
Surgical Case Reports
Publisher
Springer Berlin Heidelberg
Publication Date
Jan 16, 2015
Volume
1
Issue
1
Identifiers
DOI: 10.1186/s40792-014-0003-3
Source
Springer Nature
Keywords
License
Green

Abstract

Wandering spleen is a rare clinical entity, and its chronic torsion of the vascular pedicle result in splenic vein occlusion leading to gastric varices. Here, we present a case of wandering spleen complicating gastric varices in a 40-year-old female. Three-dimensional CT (3D-CT) clearly showed the disruption of the splenic vein at the origin of the vascular pedicle and collateral development of the gastric varices. The patient was electively treated with laparoscopic splenectomy. Difficulty of prediction of the splenic vein recanalization to improve the varices was the reason for the use of splenectomy versus splenopexy. The varices were successfully diminished 3 months after the surgery. After review of cases of complicating gastric varices in the literatures, splenectomy is still a secure way to treat an adult patient with wandering spleen with complicating gastric varices.

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