title: A case of torsion of the wandering spleen presenting as hypersplenism and gastric fundal varices.
abstract: Wandering spleen is the displacement of the spleen from its normal location due to the loss or weakening of ligaments that hold the spleen in the left upper quadrant. The possibility of torsion of the spleen is high due to the long and mobile nature of the vascular pedicle. Generally, cases are asymptomatic. Under conditions of delayed diagnosis, symptoms of splenomegaly, left portal hypertension, gastric fundal varices, and hypersplenism may present as a result of development of vascular congestion associated with chronic torsion. There are only a few cases in the literature reporting the association of wandering spleen and fundal varices. We report herein the case of a 55-year-old female who admitted to our clinic with complaints of fatigue and epigastric pain. She was determined to have gastric fundal varices and hypersplenism secondary to the development of left portal hypertension due to chronic splenic torsion.
authors.affiliation: Departments of, Gastroenterology, Uludağ University, School of Medicine, Bursa. drkaderirak@hotmail.com
authors.forename: Kader
authors.initials: K
authors.lastname: Irak
authors.forename: Irfan
authors.initials: I
authors.lastname: Esen
authors.forename: Murat
authors.initials: M
authors.lastname: Keskın
authors.forename: Ahmet Tarık
authors.initials: AT
authors.lastname: Emınler
authors.forename: Talat
authors.initials: T
authors.lastname: Ayyildiz
authors.forename: Ekrem
authors.initials: E
authors.lastname: Kaya
authors.forename: Murat
authors.initials: M
authors.lastname: Kiyici
authors.forename: Selim
authors.initials: S
authors.lastname: Gürel
authors.forename: Selim Giray
authors.initials: SG
authors.lastname: Nak
authors.forename: Macit
authors.initials: M
authors.lastname: Gülten
authors.forename: Enver
authors.initials: E
authors.lastname: Dolar
mesh_terms: D004932:Esophageal and Gastric Varices / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D006971:Hypersplenism / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006975:Hypertension, Portal / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D008875:Middle Aged; D014102:Torsion Abnormality / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D050805:Wandering Spleen / Q000150:complications* / Q000175:diagnosis / Q000601:surgery