Splenectomy for Torsion of a Wandering Spleen in a Patient with Myeloproliferative Disease

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 tomog...

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Detalles Bibliográficos
Autores principales: Imawari, Kana, Uojima, Haruki, Hayama, Kei, Toshimitsu, Fujio, Sanoyama, Itaru, Iwasaki, Shuichiro, Wada, Naohisa, Kubota, Kousuke, Hidaka, Hisashi, Nakazawa, Takahide, Shibuya, Akitaka, Suzuki, Takahiro, Kumamoto, Yusuke, Saegusa, Makoto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9381354/
https://www.ncbi.nlm.nih.gov/pubmed/34897151
http://dx.doi.org/10.2169/internalmedicine.8391-21
Descripción
Sumario: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.

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