Abstract
Wandering spleen is a condition characterized by displacement of the spleen from its normal location due to the loss or weakening of ligaments holding the spleen in the left upper quadrant. The possibility of torsion of the spleen is mostly due to the long and mobile nature of the vascular pedicle. The most common complication related to torsion is infarction. Presentation as left portal hypertension and gastric varices is extremely rare. Here, we report a 20-year-old woman who presented with gastric varices secondary to chronic volvulus of ectopic spleen. Computed tomography scans visualized the pelvic mass, which measured 14.6×11.8×5.4 cm. Gastric fundal varices were observed on esophagogastroduodenoscopy. Laparoscopic splenectomy was performed successfully. In our case, splenomegaly, left portal hypertension, and gastric varices may have developed as a result of vascular congestion associated with chronic torsion.
