Postpartum splenic torsion in a patient with a wandering spleen and splenomegaly

Splenic torsion is a very rare condition, with splenomegaly and recent birth as known possible risk factors. We report the case of a woman with known splenomegaly, who presented with left-sided abdominal pain 1 month post partum. She was diagnosed with a wandering spleen with splenic torsion and thrombosis in the splenic vein.Initially, a conservative approach was chosen as symptoms receded. However, the venous thrombosis progressed, and the patient experienced increasing pain. Surgical intervention was considered necessary, and the patient underwent an uneventful splenectomy.

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Publication Details

Journal
BMJ Case Reports
Published
2025-03-01
DOI
https://doi.org/10.1136/bcr-2023-259196
Primary Topic
Abdominal Trauma and Injuries
Type
article
Field-Weighted Citation Impact
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article

Postpartum splenic torsion in a patient with a wandering spleen and splenomegaly

Luit Penninga, Waqas Farooqui, Thomas Skårup Kristensen, Zara Elisabeth Bond
BMJ Case Reports
Abdominal Trauma and Injuries
article

Postpartum splenic torsion in a patient with a wandering spleen and splenomegaly

Luit Penninga, Waqas Farooqui, Thomas Skårup Kristensen, Zara Elisabeth Bond
article en

Abstract

Splenic torsion is a very rare condition, with splenomegaly and recent birth as known possible risk factors. We report the case of a woman with known splenomegaly, who presented with left-sided abdominal pain 1 month post partum. She was diagnosed with a wandering spleen with splenic torsion and thrombosis in the splenic vein.Initially, a conservative approach was chosen as symptoms receded. However, the venous thrombosis progressed, and the patient experienced increasing pain. Surgical intervention was considered necessary, and the patient underwent an uneventful splenectomy.

BMJ Case ReportsVol. 18(3)
Hvidovre Hospital (DK), Rigshospitalet (DK)
Good health and well-being
Openalex Percentile: Top 93%
Abdominal Trauma and Injuries
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