A rare case of wandering spleen with its unreported associations: case report and literature review

Asha R. Digumarthi; Seema Khanna; Satendra Kumar; Sanjeev K. Gupta

doi:10.18203/2349-2902.isj20231745

Authors

Asha R. Digumarthi Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
Seema Khanna Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
Satendra Kumar Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
Sanjeev K. Gupta Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20231745

Keywords:

Wandering spleen, Splenic torsion, Splenic vein thrombosis, Thrombocytosis, Splenoptosis, Abdominal pain, Splenectomy

Abstract

Wandering spleen (WS) is a rare clinical entity with unclear clinical picture. Patient can be asymptomatic or can present with acute abdomen, based on the degree of associated splenic torsion, but most of the cases needed an emergency splenectomy. We herein report an unusual presentation of a wandering spleen in the elderly with thrombocytosis, portal, and splenic vein thrombosis, and sinistral hypertension. To the best of our knowledge, this is the first case report documenting all these associations altogether. This case report describes how this challenging case was managed well. Splenectomy was inevitable in this patient as the spleen was infarcted. This enlightens the need for timely diagnosis and intervention of wandering spleen for splenic preservation.

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