Splenectomy for Torsion of a Wandering Spleen in a Patient with Myeloproliferative Disease
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- Imawari Kana
- Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan
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- Uojima Haruki
- Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan
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- Hayama Kei
- Department of Hematology, Kitasato University School of Medicine, Japan
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- Toshimitsu Fujio
- Department of Surgery, Kitasato University School of Medicine, Japan
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- Sanoyama Itaru
- Department of Pathology, Kitasato University School of Medicine, Japan
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- Iwasaki Shuichiro
- Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan
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- Wada Naohisa
- Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan
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- Kubota Kousuke
- Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan
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- Hidaka Hisashi
- Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan
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- Nakazawa Takahide
- Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan
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- Shibuya Akitaka
- Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan
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- Suzuki Takahiro
- Department of Hematology, Kitasato University School of Medicine, Japan
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- Kumamoto Yusuke
- Department of Surgery, Kitasato University School of Medicine, Japan
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- Saegusa Makoto
- Department of Pathology, Kitasato University School of Medicine, Japan
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Abstract
<p>We herein report a rare case of torsion of a wandering spleen in a patient with myeloproliferative disease. A 66-year-old Japanese woman presented to our hospital with abdominal pain and a fever. She had a medical history of polycythemia and secondary myelofibrosis. Abdominal enhanced computed tomography showed an enlarged spleen without enhancement in the lower pelvic region. The clinical diagnosis was severe torsion of a wandering spleen in a patient with myeloproliferative disease, necessitating surgical intervention. Splenectomy was performed after de-rotating to revascularize the spleen. After the operation, the platelet count gradually increased, and aspirin was administered to prevent thrombosis. </p>
Journal
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- Internal Medicine
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Internal Medicine 61 (14), 2143-2148, 2022-07-15
The Japanese Society of Internal Medicine
