INTRODUCTION Splenic vein thrombosis results in localized portal hypertension called sinistral portal hypertension, which may also lead to massive upper gastrointestinal bleeding. Symptomatic sinistral portal hypertension is usually best treated by splenectomy, but interventional radiological techniques are safe and effective alternatives in the management of a massive hemorrhage, particularly ...

BACKGROUND Splenic artery aneurysm is rare and its diagnosis is challenging due to the nonspecific nature of the clinical presentation. We report a case of a splenic artery aneurysm in which the patient presented with chronic dyspepsia and multiple episodes of minor intragastric bleeding. CASE PRESENTATION A 60-year-old, previously healthy Sri Lankan man presented with four episodes of hemate...

Splenic metastasis of ovarian cancer appears to be more common in serous cystadenocarcinomas. Splenic metastasis usually occurs postoperatively and simultaneously with dissemination to the greater omentum and pelvic cavity. Compared with other ovarian cancer subtypes, ovarian clear cell adenocarcinoma (OCCA) is rare, accounting for <5% of all ovarian malignancies. OCCA has a distinct histologic...

We report on a rare case of splenic abscess due to spontaneous Escherichia coli bacteremia in a 49-year old cirrhotic. No other source potentially responsible for bacteremia was found through careful diagnostic research. Splenic abscess appeared from ultrasonography and computerized tomography as a 6-7 cm lesion located at the lower splenic pole. Blood cultures allowed to isolate E. coli which,...

Wandering spleen is an extremely rare condition in which the spleen is lacking its normal ligamentous attachments and therefore can move to an ectopic position in the abdomen or pelvis. Wandering spleen predisposes the patient to life-threatening complications due to torsion of the spleen's vascular pedicle, with resulting splenic infarction, portal hypertension, and bleeding. Because of the no...

Primary splenic angiosarcoma is an extremely rare and aggressive neoplasm. The prognosis of this disease is dismal, and the mean survival is less than 6 months after the diagnosis. This neoplasm typically presents with abdominal pain, splenomegaly, weight loss, and spontaneous splenic rupture. Fever is a very rare presentation of splenic angiosarcoma. Here we report the case of a 64-year-old ma...

endovascular techniques (stents or selective embolization) or surgery (either open or laparoscopic in selected cases) in order to resect the aneurysm or ligate the splenic artery, while attempting to preserve the spleen. For the diagnosis of ruptured splenic aneurysms, computed tomography with intravenous contrast is the best option in the emergency setting in hemodynamically stable patients. H...

The spleen is the most commonly injured visceral organ in blunt abdominal trauma in both adults and children. Nonoperative management is the current standard of practice for patients who are hemodynamically stable. However, simple observation alone has been reported to have a failure rate as high as 34%; the rate is even higher among patients with high-grade splenic injuries (American Associati...

Gastrointestinal bleeding caused by a fistula between the gastricsleeve and pseudoaneurysm of splenic artery or upper pole ofthe spleen is uncommon.A clinical case 52-year-old patient with history surgery anastomotic leak presented.She was admitted for severe gastrointestinal bleeding.She underwent emergency performed hemostaticstitch on posterior face gastric sleeve. She underwentreoperation d...

Objectives: Surgical reports on incidental splenectomy usually lack necessary details particularly during any other abdominal operative procedures. This retrospective study was conducted in order to analyze our institutional clinical experience in iatrogenic splenectomy and to evaluate the predisposing factors. Patients and Methods: The patients who underwent splenectomy were retrospectively ev...