Postsplenectomy gastric deformity.
Mass- or polyplike defects of the gastric fundus were found on upper gastrointestinal examination in five patients, representing 7% of those who had undergone splenectomy. In four cases, the splenectomies were performed 1--5 months earlier, and, in one, the splenectomy was performed 10 years before. Dense adhesions were the cause of the defects in two patients. Plication deformity was thought to be a possible cause in the others. Recognition of the nonneoplastic nature of such defects is important in preventing unnecessary surgery. Computed tomography and endoscopy may be helpful in confirming the diagnosis.
D000328:Adult; D005748:Gastric Fundus; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013156:Splenectomy / Q000009:adverse effects*; D013272:Stomach Diseases / Q000000981:diagnostic imaging / Q000209:etiology*