Journal article
Wandering spleen presenting as acute pancreatitis in pregnancy
Obstetrics and gynecology (New York. 1953), v 101(5), pp 1100-1102
May 2003
PMID: 12738115
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Abstract
Wandering spleen most frequently presents clinically with gastrointestinal bleeding and thrombocytopenia.
A 24-year-old multiparous patient at 36 weeks’ gestation presented with pancreatitis. Incidental thrombocytopenia was discovered. A 2722-g female neonate was delivered by repeat cesarean from a breech presentation. The spleen was observed at the left margin of the incision. An evaluation of the pancreatitis included a computed tomography study demonstrating an enlarged spleen twisted on its pedicle and displaced inferiorly. Esophagogastric duodenoscopy performed in evaluation of gastrointestinal bleeding showed persistent gastric varices. Multiple transfusions were required. A splenectomy was performed. The recovery was uncomplicated.
In this case of a wandering spleen, pancreatitis resulted from torsion and obstruction of the tail of the pancreas within the splenic pedicle and was effectively treated with splenectomy. Thrombocytopenia occurred as a result of sequestration of platelets in the enlarged spleen. Persistent gastric varices and subsequent gastrointestinal bleeding occurred secondary to splenic vein obstruction.
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Details
- Title
- Wandering spleen presenting as acute pancreatitis in pregnancy
- Creators
- Rachel S. Gilman - Allegheny Health NetworkRonald L. Thomas - Allegheny Health Network
- Publication Details
- Obstetrics and gynecology (New York. 1953), v 101(5), pp 1100-1102
- Publisher
- Elsevier
- Number of pages
- 3
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Obstetrics and Gynecology
- Web of Science ID
- WOS:000182562600019
- Scopus ID
- 2-s2.0-0038637703
- Other Identifier
- 991021965445604721
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- Web of Science research areas
- Obstetrics & Gynecology