Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan.
Department of Hematology, Kitasato University School of Medicine, Japan.
Intern Med. 2022 Jul 15;61(14):2143-2148. doi: 10.2169/internalmedicine.8391-21. Epub 2021 Dec 11.
We herein report a rare case of torsion of a wandering spleen in a patient with myeloproliferative disease. A 66-year-old Japanese woman presented to our hospital with abdominal pain and a fever. She had a medical history of polycythemia and secondary myelofibrosis. Abdominal enhanced computed tomography showed an enlarged spleen without enhancement in the lower pelvic region. The clinical diagnosis was severe torsion of a wandering spleen in a patient with myeloproliferative disease, necessitating surgical intervention. Splenectomy was performed after de-rotating to revascularize the spleen. After the operation, the platelet count gradually increased, and aspirin was administered to prevent thrombosis.
我们在此报告一例罕见的骨髓增生性疾病并发游走脾扭转的病例。一名 66 岁日本女性因腹痛和发热就诊于我院。她既往有多血症和继发性骨髓纤维化病史。腹部增强 CT 显示下盆腔脾肿大，无增强。临床诊断为骨髓增生性疾病游走脾重度扭转，需手术干预。行脾脏复位后行脾切除术。术后血小板计数逐渐升高，给予阿司匹林预防血栓形成。
