1. Splenectomy for Torsion of a Wandering Spleen in a Patient with Myeloproliferative Disease.
- Author
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Imawari K, Uojima H, Hayama K, Toshimitsu F, Sanoyama I, Iwasaki S, Wada N, Kubota K, Hidaka H, Nakazawa T, Shibuya A, Suzuki T, Kumamoto Y, and Saegusa M
- Subjects
- Abdominal Pain etiology, Aged, Female, Humans, Splenectomy methods, Torsion Abnormality complications, Torsion Abnormality diagnostic imaging, Myeloproliferative Disorders complications, Wandering Spleen complications, Wandering Spleen diagnostic imaging, Wandering Spleen surgery
- Abstract
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.
- Published
- 2022
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