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Related Experiment Videos

Wandering spleen causing splenic flexure volvulus and obstruction

K Moorthy1, A Deshpande, P Rao

  • 1Department of Surgery, Seth G S Medical College, Mumbai.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|May 1, 1998
PubMed
Summary

A large, downward-displaced spleen obstructed the colon, causing distal bowel obstruction. Surgical removal of the spleen (splenectomy) resolved the obstruction, offering a treatment for this rare condition.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Distal bowel obstruction is a common surgical emergency.
  • Splenic pathologies rarely present as a cause of bowel obstruction.

Observation:

  • A 48-year-old woman presented with abdominal distension and a palpable mass.
  • Imaging revealed colonic distension and small bowel dilation, suggestive of obstruction.
  • Surgical exploration identified an enlarged, ptotic spleen compressing the colon.

Findings:

  • The spleen's pedicle caused extrinsic compression and obstruction of the colon.
  • Partial volvulus of the splenic flexure around the splenic pedicle was noted.
  • Thrombosis of the splenic vein was present, indicating splenic compromise.

Implications:

Related Experiment Videos

  • This case highlights an unusual cause of large bowel obstruction.
  • Splenectomy is an effective treatment for splenic-induced colonic obstruction.
  • Awareness of rare splenic presentations is crucial for accurate diagnosis and management.