Wandering spleen as a cause of mesenteric and portal varices: a new etiology?

Abstract:

:Wandering spleen is a rare clinical entity characterized by spleen hypermobility due to lack or weakness of one or more splenic ligaments. We report two patients with the diagnosis of wandering spleen with portal and mesenteric varices. A 16 year-old girl presented with abdominal pain, an abdominal mass and pancytopenia. A 12 year-old girl presented with an abdominal mass only. Imaging studies revealed both patients had a viable but torsed wandering spleen in association with portal, splenic and mesenteric varices. Both were treated with splenectomy and had resolution of their symptoms. Imaging confirmed complete resolution of all varices at 30 month and 11 year follow up respectively. These cases represent the first report of a wandering spleen causing portal and mesenteric venous partial obstruction leading to varices; splenectomy resolved these findings post-operatively.

journal_name

J Pediatr Surg

authors

Zarroug AE,Hashim Y,El-Youssef M,Zeidan MM,Moir CR

doi

10.1016/j.jpedsurg.2012.12.042

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

e1-4

issue

3

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(12)01070-6

journal_volume

48

pub_type

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