[Hematemesis revealing chronic volvulus of a wandering spleen].
A 23 years old woman was admitted on emergency for an upper digestive tract bleeding and endoscopy found gastric varices. CT scan revealed a splenomegaly, a twisted aspect of the splenic pedicle and varices in the gastrosplenic ligament. Arteriography showed a narrow splenic artery and varices in the gastrosplenic ligament. After a recurrent bleeding, splenectomy was performed. There was a chronic volvulus of a wandering spleen; the splenic venous flow was passing through the left gastroepiploic vein and a gastrosplenic vein. Chronic volvulus of a wandering spleen with gastric varices is an unfrequent pathology, diagnosed by imaging and requiring splenectomy.
Habib
E
E
Service de chirurgie viscérale et thoracique, hôpital Robert-Ballanger, 93602 Aulnay-sous-Bois, France.
Bellaiche
G
G
Fouet
P
P
Elhadad
A
A
D000328:Adult; D000792:Angiography; D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000473:pathology; D005260:Female; D006396:Hematemesis / Q000209:etiology*; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D013154:Spleen / Q000473:pathology*; D013158:Splenic Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D013163:Splenomegaly; D014057:Tomography, X-Ray Computed
Hématémèse révélatrice du volvulus chronique d'une rate baladeuse.