Splenic torsion presenting as splenic vein thrombosis

Flippin, J. Alford; Fisher, Paul D.; Long, Julie A.

doi:10.1016/j.epsc.2016.04.024

Cited by 2 publications

(4 citation statements)

References 8 publications

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“…The splenic pedicle's torsion or compression, along with the obstruction of venous outflow, is the postulated mechanism for splenic enlargement in this case. Splenic vein thrombosis is a well‐known cause of gastrointestinal bleeding and splenomegaly; the most common underlying causes are pancreatitis and pancreatic tumors 8,9 . The occurrence of isolated splenic vein thrombosis can result in a distinct clinical manifestation characterized by bleeding from isolated gastric varices, which pose challenges in terms of diagnosis, along with splenomegaly and preserved liver function 10 .…”

Section: Discussionmentioning

confidence: 99%

“…Splenic vein thrombosis is a well‐known cause of gastrointestinal bleeding and splenomegaly; the most common underlying causes are pancreatitis and pancreatic tumors. 8 , 9 The occurrence of isolated splenic vein thrombosis can result in a distinct clinical manifestation characterized by bleeding from isolated gastric varices, which pose challenges in terms of diagnosis, along with splenomegaly and preserved liver function. 10 A rare consequence of congenital diaphragmatic hernia is hypersplenism from splenic sequestration leading to thrombocytopenia.…”

Section: Discussionmentioning

confidence: 99%

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Bochdalek hernia presenting as recurrent fever and bicytopenia in a pediatric patient: A rare case report

Salajegheh,

Gilani,

Yazdi

et al. 2023

Clinical Case Reports

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Key Clinical MessageBochdalek hernia is a rare condition characterized by the displacement of abdominal contents into the thoracic cavity. Due to the nonspecific nature of symptoms, prompt diagnosis, and management by emergency care providers can be challenging. Treatment of a Bochdalek hernia typically involves the reduction in the herniated contents back into the abdominal cavity. In this case report, we present the case of a 1‐year‐old girl who presented to the emergency department with a fever and bicytopenia. Further evaluation revealed a Bochdalek hernia, which was successfully managed with surgical intervention. This case highlights the importance of considering a Bochdalek hernia in the differential diagnosis of patients presenting with recurrent nonspecific symptoms (fever and bicytopenia).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Bochdalek hernia presenting as recurrent fever and bicytopenia in a pediatric patient: A rare case report

Salajegheh,

Gilani,

Yazdi

et al. 2023

Clinical Case Reports

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“…In renal transplantation, splenectomy, or its medical equivalent, rituximab, has been employed to reduce de novo [8] or pre-existing [9,10] HLA antibody production. An inhibitory effect for rituximab or splenectomy has not been found against de novo Ab production [3], while different, desensitizing procedures (plasmapheresis, IVIg) to remove pre-existing antibodies have been shown to be equally effective as rituximab or splenectomy [9], although early death rates in ABO-incompatible recipients were higher [10].…”

Section: Discussionmentioning

confidence: 99%

“…Successful laparoscopic cystectomy has been performed in a pregnant patient [2]. A cyst in a wandering spleen is also quite challenging; with its associated risk of splenic torsion, it is usually treated with splenectomy [3–5].…”

Section: Introductionmentioning

confidence: 99%

A Case of Small Intestinal Ileus Due to Wandering Spleen with a Large Cyst

et al. 2019

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Patient: Female, 28 Final Diagnosis: Ileus due to wandering spleen with a cyst Symptoms: Acute abdominal pain Medication: — Clinical Procedure: Tube decompression • laparotomy Specialty: Abdominal Surgery • Transplant Surgery Objective: Rare disease Background: Splenic cysts are rare. Most are due to previous trauma, infection, or infarction. They are generally handled by laparoscopic surgical removal if they are larger than 5 cm. However, very large cysts may require splenectomy. Another factor in the choice of therapy is the patient’s underlying condition. We present the case of a giant splenic cyst in a woman 1 year after a renal transplant. Case Report: A 28-year-old woman presented with acute abdominal pain and nausea. One year before, she had received an ABO-identical living donor renal transplantation from her father, and was maintained on oral tacrolimus and prednisolone. A CT scan with contrast showed enteric ileus and an abnormal position of the spleen, which was involved by a cyst measuring 12×12.5×9 cm. A nasogastric tube, and later a small bowel tube, were inserted to decompress the ileus. The patient underwent laparotomy 11 days after admission. We confirmed an internal hernia with volvulus due to migration of the spleen; however, there was no evidence of necrosis. The patient was treated with splenectomy and reduction of the hernia. There were no complications. Conclusions: This was a very unusual emergency following renal transplantation. Splenectomy has been performed in the past for immunosuppression in cases of donor ABO-incompatibility. We therefore considered that it would be more expedient to remove the spleen than to remove the cyst and perform splenopexy.

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Splenic torsion presenting as splenic vein thrombosis

Cited by 2 publications

References 8 publications

Bochdalek hernia presenting as recurrent fever and bicytopenia in a pediatric patient: A rare case report

Bochdalek hernia presenting as recurrent fever and bicytopenia in a pediatric patient: A rare case report

A Case of Small Intestinal Ileus Due to Wandering Spleen with a Large Cyst

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