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...

Descripción completa

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
_version_ 1784769061149736960
author 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
author_facet 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
author_sort Imawari, Kana
collection PubMed
description 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.
format Online
Article
Text
id pubmed-9381354
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher The Japanese Society of Internal Medicine
record_format MEDLINE/PubMed
spelling pubmed-93813542022-08-31 Splenectomy for Torsion of a Wandering Spleen in a Patient with Myeloproliferative Disease 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 Intern Med Case Report 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. The Japanese Society of Internal Medicine 2021-12-11 2022-07-15 /pmc/articles/PMC9381354/ /pubmed/34897151 http://dx.doi.org/10.2169/internalmedicine.8391-21 Text en Copyright © 2022 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
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
Splenectomy for Torsion of a Wandering Spleen in a Patient with Myeloproliferative Disease
title Splenectomy for Torsion of a Wandering Spleen in a Patient with Myeloproliferative Disease
title_full Splenectomy for Torsion of a Wandering Spleen in a Patient with Myeloproliferative Disease
title_fullStr Splenectomy for Torsion of a Wandering Spleen in a Patient with Myeloproliferative Disease
title_full_unstemmed Splenectomy for Torsion of a Wandering Spleen in a Patient with Myeloproliferative Disease
title_short Splenectomy for Torsion of a Wandering Spleen in a Patient with Myeloproliferative Disease
title_sort splenectomy for torsion of a wandering spleen in a patient with myeloproliferative disease
topic Case Report
url 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
work_keys_str_mv AT imawarikana splenectomyfortorsionofawanderingspleeninapatientwithmyeloproliferativedisease
AT uojimaharuki splenectomyfortorsionofawanderingspleeninapatientwithmyeloproliferativedisease
AT hayamakei splenectomyfortorsionofawanderingspleeninapatientwithmyeloproliferativedisease
AT toshimitsufujio splenectomyfortorsionofawanderingspleeninapatientwithmyeloproliferativedisease
AT sanoyamaitaru splenectomyfortorsionofawanderingspleeninapatientwithmyeloproliferativedisease
AT iwasakishuichiro splenectomyfortorsionofawanderingspleeninapatientwithmyeloproliferativedisease
AT wadanaohisa splenectomyfortorsionofawanderingspleeninapatientwithmyeloproliferativedisease
AT kubotakousuke splenectomyfortorsionofawanderingspleeninapatientwithmyeloproliferativedisease
AT hidakahisashi splenectomyfortorsionofawanderingspleeninapatientwithmyeloproliferativedisease
AT nakazawatakahide splenectomyfortorsionofawanderingspleeninapatientwithmyeloproliferativedisease
AT shibuyaakitaka splenectomyfortorsionofawanderingspleeninapatientwithmyeloproliferativedisease
AT suzukitakahiro splenectomyfortorsionofawanderingspleeninapatientwithmyeloproliferativedisease
AT kumamotoyusuke splenectomyfortorsionofawanderingspleeninapatientwithmyeloproliferativedisease
AT saegusamakoto splenectomyfortorsionofawanderingspleeninapatientwithmyeloproliferativedisease

Ejemplares similares