Thrombocytopenia in association with a wandering spleen.

Journal Article (Journal Article;Review)

An ectopic, so-called wandering spleen is an uncommon occurrence. We present the case of a young woman who presented with abdominal pain and was found to have an enlarged spleen, located in the lower abdomen and pelvis. The possibility of lymphoma was entertained because of concomitant findings of thrombocytopenia and a possible mesenteric mass. The mass was subsequently found at laparotomy to be the tail of the malpositioned pancreas, and the thrombocytopenia resolved with splenectomy. Review of the literature indicates that lymphoma is an uncommon finding in wandering spleens, that wandering spleens are enlarged in most cases, and that thrombocytopenia, while uncommon, can be seen, in particular when associated with torsion of an elongated splenic pedicle.

Full Text

Duke Authors

Cited Authors

  • Moll, S; Igelhart, JD; Ortel, TL

Published Date

  • December 1996

Published In

Volume / Issue

  • 53 / 4

Start / End Page

  • 259 - 263

PubMed ID

  • 8948667

International Standard Serial Number (ISSN)

  • 0361-8609

Digital Object Identifier (DOI)

  • 10.1002/(SICI)1096-8652(199612)53:4<259::AID-AJH11>3.0.CO;2-7


  • eng

Conference Location

  • United States