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Indian J Surg. 2015 Dec;77(Suppl 2):750-1. doi: 10.1007/s12262-013-0993-2. Epub 2013 Oct 19.

An Unusual Reason for Gastric Variceal Hemorrhage: Wandering Spleen.

Author information

1
Department of Gastroenterology, Faculty of Medicine, Yildirim Beyazit University, Ankara, Turkey.
2
Department of Gastroenterology, Ankara Ataturk Research and Education Hospital, Ankara, Turkey.
3
Department of Radiology, Ankara Ataturk Research and Education Hospital, Ankara, Turkey.
4
Department of General Surgery, Ankara Ataturk Research and Education Hospital, Ankara, Turkey.

Abstract

Wandering spleen is the displacement of the spleen due to the loss or weakening of the ligaments of the spleen and is seen very rarely with an incidence of less than 0.5 %. It can cause portal hypertension, but gastric variceal hemorrhage is a quite rare condition within the spectrum of this uncommon disease. We report a 22-year-old woman with wandering spleen presenting with life-threatening gastric variceal hemorrhage. Her diagnosis was made by computerized tomography. Endoscopic therapy was not adequate to stop the bleeding, and urgent splenectomy was performed. After surgery she has been well with no symptoms until now.

KEYWORDS:

Gastric variceal hemorrhage; Portal hypertension; Splenectomy; Wandering spleen

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