Recurrent abdominal pain in a woman with a wandering spleen.
A 28-year-old Malay woman presented with recurrent abdominal pain for five years. She had delivered her child seven months earlier. She was found to have bicytopenia, with a haemoglobin level of 7.9 g/dL and a platelet count of 85 x 10(9)/L. Computed tomography revealed a wandering spleen. Complications of a wandering spleen, for which splenectomy is advocated, include functional asplenia (due to torsion of the splenic pedicle), splenic infarction or splenic vessel thrombosis. A splenectomy was performed and at operation, splenomegaly with a long mesentery was found. Splenic histology was negative for malignancy. The bicytopenia resolved postoperatively, and she remains well.
Tan
H H
HH
Department of Gastroenterology and Hepatology, Singapore General Hospital, Outram Road, Singapore 169608. mhyhui@gmail.com
Ooi
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Tan
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Tan
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CK
D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D005260:Female; D006801:Humans; D013156:Splenectomy; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality / Q000601:surgery; D050805:Wandering Spleen / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery