What is the most common complication of a wandering spleen?

4 The most common complication of wandering spleen is torsion,5 which was the complication noted in this case presentation. Other complications are splenic infarction, splenic abscess, variceal hemorrhage, and pancreatic tail necrosis.

Is splenic infarction serious?

Dangerous complications of splenic infarct include pseudocyst formation, abscess, hemorrhage, splenic rupture, and aneurysm. In some instances, the infarcted splenic tissue may become infected and lead to abscess formation. Infarcted tissue may also undergo a hemorrhagic transformation.

What is a common treatment for wandering spleen?

Treatment. Because wandering spleen can cause life-threatening complications (such as splenic infarction, portal hypertension , and hemorrhage), surgery to remove the spleen is the preferred treatment method for patients. Laparoscopic splenectomy is the typical method used for spleen removal.

What cancers cause enlarged spleen?

Blood cancers, such as leukemia and myeloproliferative neoplasms, and lymphomas, such as Hodgkin’s disease. Metabolic disorders, such as Gaucher disease and Niemann-Pick disease.

How painful are splenic infarction?

Approximately one third of splenic infarcts are clinically occult. The most common presenting symptom is left-upper-quadrant abdominal pain (up to 70%). Additional symptoms include fever and chills, nausea and vomiting, pleuritic chest pain, and left shoulder pain (Kehr sign).

Is splenic infarct an emergency?

Splenic infarction should certainly be considered in differential diagnosis of patients presenting to the emergency department due to abdominal pain, in view of underlying and risk-posing diseases.

How painful is a splenic infarct?

A splenic infarction is an ischemic injury to the spleen. It most commonly presents with severe, sharp pain, with a quarter of patients presenting with classic left upper quadrant pain and about half with pain elsewhere in the abdomen; a significant portion have no abdominal pain.

Does spleen cause gas?

It’s situated next to your spleen. While gas is normal, splenic flexure syndrome can cause excessive gas and discomfort. This condition, considered a chronic digestive disorder, is thought to be a sub-type of irritable bowel syndrome.