Laparoscopic splenectomy for a wandering spleen complicating gastric varices: report of a caseReportar como inadecuado




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Surgical Case Reports

, 1:3

First Online: 16 January 2015Received: 10 October 2014Accepted: 14 November 2014

Abstract

Wandering spleen is a rare clinical entity, and its chronic torsion of the vascular pedicle result in splenic vein occlusion leading to gastric varices. Here, we present a case of wandering spleen complicating gastric varices in a 40-year-old female. Three-dimensional CT 3D-CT clearly showed the disruption of the splenic vein at the origin of the vascular pedicle and collateral development of the gastric varices. The patient was electively treated with laparoscopic splenectomy. Difficulty of prediction of the splenic vein recanalization to improve the varices was the reason for the use of splenectomy versus splenopexy. The varices were successfully diminished 3 months after the surgery. After review of cases of complicating gastric varices in the literatures, splenectomy is still a secure way to treat an adult patient with wandering spleen with complicating gastric varices.

KeywordsWandering spleen Gastric varices Laparoscopic splenectomy Laparoscopic splenopexy  Download fulltext PDF



Autor: Masanori Sato - Yuichiro Miyaki - Junpei Tochikubo - Takanobu Onoda - Norihiko Shiiya - Hidetoshi Wada

Fuente: https://link.springer.com/article/10.1186/s40792-014-0003-3



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