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Case Reports: Rare disease
Postpartum splenic torsion in a patient with a wandering spleen and splenomegaly
  1. Zara Elisabeth Bond1,
  2. Waqas Farooqui2,
  3. Thomas Skårup Kristensen3 and
  4. Luit Penninga2
  1. 1 Hvidovre Hospital Department of Gastroenterology and Gastrointestinal Surgery, Hvidovre, Denmark
  2. 2 Department of Surgery and Transplantation, Rigshospitalet, Copenhagen, Denmark
  3. 3 Department of Radiology, Rigshospitalet, Copenhagen, Denmark
  1. Correspondence to Luit Penninga; LP{at}ctu.dk

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.

  • Splenectomy
  • Gastrointestinal surgery
  • Haematology (incl blood transfusion)
  • Thrombosis

https://doi.org/10.1136/bcr-2023-259196

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: ZEB, WF, TSK and LP. The following authors gave final approval of the manuscript: WF, TSK and LP. LP is the guarantor.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.