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Am J Emerg Med. 2008 Jun;26(5):637.e1-4. doi: 10.1016/j.ajem.2007.10.026.

Wandering spleen presenting as bleeding gastric varices.

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Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.


Ectopic spleen (splenoptosis) is an extremely rare condition in which the spleen is present in a nonanatomical position. Patients' symptomatology is variable and ranges from mere feeling of an abdominal lump to sudden abdominal pain due to infarction. Patient may have subacute to chronic abdominal or gastrointestinal complaints. Because of nonspecific symptoms, clinical diagnosis can be difficult; hence, imaging plays an important role. Presentation as a case of portal hypertension is extremely rare. We report a case of splenic torsion in a middle-aged woman who presented with hemetemesis from gastric varices secondary to chronic volvulus of an ectopic spleen. Preoperative diagnosis was made on the basis of ultrasonography, endoscopy, and computed tomography, which was later proved on surgery and treated successfully.

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