Bleeding gastric varices and gastric torsion secondary to a wandering spleen

We are reporting a patient who presented with upper gastrointestinal bleeding which was in part caused by a wandering spleen. Endoscopy revealed erosions of gastric varices in the presence of gastric torsion. At surgical exploration the spleen was present in the pelvis. The twisted and elongated spl...

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Veröffentlicht in:	Gastroenterology (New York, N.Y. 1943) N.Y. 1943), 1980-07, Vol.79 (1), p.141-143
Hauptverfasser:	Daneshgar, Shahram, Eras, Philip, Feldman, Saul M., Cacace, Vincent A., Federico, Frank N., Levin, Ronald H.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Gastrointestinal Hemorrhage - diagnostic imaging Gastrointestinal Hemorrhage - etiology Humans Male Radiography Radionuclide Imaging Spleen - abnormalities Spleen - diagnostic imaging Splenectomy Stomach - blood supply Stomach - diagnostic imaging Stomach Diseases - diagnostic imaging Stomach Diseases - etiology Torsion Abnormality Varicose Veins - diagnostic imaging Varicose Veins - etiology
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Zusammenfassung:	We are reporting a patient who presented with upper gastrointestinal bleeding which was in part caused by a wandering spleen. Endoscopy revealed erosions of gastric varices in the presence of gastric torsion. At surgical exploration the spleen was present in the pelvis. The twisted and elongated splenic pedicle resulted in a markedly dilated venous system of the proximal stomach and the engorged spleen. The literature of the wandering spleen is reviewed.
ISSN:	0016-5085 1528-0012
DOI:	10.1016/0016-5085(80)90089-X