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Case report
Wandering spleen: a rare complication of sleeve gastrectomy
  1. Gerardo Camarillo1,
  2. Yael Kopelman2,
  3. Yaakov Daskal1 and
  4. Daniel Sheffer1
  1. 1General Surgery, Hillel Yaffe Medical Center, Hadera, Israel
  2. 2Gastroenterology, Hillel Yaffe Medical Center, Hadera, Israel
  1. Correspondence to Professor Yael Kopelman; yaelk{at}hy.health.gov.il

Abstract

The spleen is an intraperitoneal organ typically located in the left upper quadrant. Ectopic (‘wandering’) spleen refers to the displacement of the spleen from its normal anatomical location to another region in the abdominal cavity or pelvis. It’s a relatively rare condition with no clear aetiology. We present, here, a case of a wandering spleen following sleeve gastrectomy in a 23-year-old female patient, whose spleen, prior to this event, was demonstrated by imaging in a normal anatomical position. A splenectomy was performed, and after an uneventful postoperative period, the patient was discharged. No similar case description was found in the relevant medical literature. Possible causes and decision-making process are discussed. We conclude that the wandering spleen phenomenon should be considered in the differential diagnosis of patients presenting with abdominal pain and new abdominal mass following sleeve gastrectomy.

  • general surgery
  • gastrointestinal surgery
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Footnotes

  • Contributors GC and DS wrote the case report. YD provided and cared for the study patient. YK reviewed the article.

  • 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.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

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

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