Document Detail

Acute gastric hemorrhage secondary to wandering spleen.
MedLine Citation:
PMID:  6333975     Owner:  NLM     Status:  MEDLINE    
A patient presenting with acute life-threatening upper gastrointestinal hemorrhage caused by a wandering spleen is reported. Emergency laparotomy revealed profuse gastric bleeding, large engorged varicose veins in the gastric wall, and a normal liver parenchyma. Gastroscopy after arrest of the hemorrhage showed varicose veins in the fundus without esophageal varices. Angiography revealed an ectopic spleen, occlusion of the splenic vein, and large venous collaterals in the gastric fundus. Elective splenectomy was performed. Wandering spleen as a cause of left-sided portal hypertension, also referred to as segmental splenic hypertension, is discussed.
U Angerås; B Almskog; P Lukes; S Lundstam; L Weiss
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Digestive diseases and sciences     Volume:  29     ISSN:  0163-2116     ISO Abbreviation:  Dig. Dis. Sci.     Publication Date:  1984 Dec 
Date Detail:
Created Date:  1985-01-18     Completed Date:  1985-01-18     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7902782     Medline TA:  Dig Dis Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1159-63     Citation Subset:  AIM; IM    
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MeSH Terms
Acute Disease
Gastrointestinal Hemorrhage / etiology*,  pathology
Hypertension, Portal / pathology
Splenic Diseases / complications*,  pathology
Splenic Infarction / pathology
Stomach / blood supply
Torsion Abnormality
Varicose Veins / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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