title: Laparoscopic splenectomy for a wandering spleen complicating gastric varices: report of a case.
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.
authors.affiliation: First Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashiku, Hamamatsu, Shizuoka, 431-3192, Japan. msnrsato@hama-med.ac.jp.
authors.forename: Masanori
authors.initials: M
authors.lastname: Sato
authors.affiliation: First Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashiku, Hamamatsu, Shizuoka, 431-3192, Japan. y.miyaki@sis.seirei.or.jp.
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Miyaki
authors.affiliation: First Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashiku, Hamamatsu, Shizuoka, 431-3192, Japan. d11026@hama-med.ac.jp.
authors.forename: Junpei
authors.initials: J
authors.lastname: Tochikubo
authors.affiliation: First Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashiku, Hamamatsu, Shizuoka, 431-3192, Japan. 07484923@hama-med.ac.jp.
authors.forename: Takanobu
authors.initials: T
authors.lastname: Onoda
authors.affiliation: First Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashiku, Hamamatsu, Shizuoka, 431-3192, Japan. shiyanor@hama-med.ac.jp.
authors.forename: Norihiko
authors.initials: N
authors.lastname: Shiiya
authors.affiliation: First Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashiku, Hamamatsu, Shizuoka, 431-3192, Japan. wadahide@hama-med.ac.jp.
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Wada
keywords: Gastric varices; Laparoscopic splenectomy; Laparoscopic splenopexy; Wandering spleen