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

Zara Elisabeth Bond1, Waqas Farooqui2, Thomas Skårup Kristensen3

  • 1Hvidovre Hospital Department of Gastroenterology and Gastrointestinal Surgery, Hvidovre, Denmark.

BMJ Case Reports
|March 3, 2025
PubMed

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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