Laparoscopic Splenectomy for Wandering Spleen with Immune Thrombocytopenic Purpura—A Case Report—

Abstract

A 25-year-old woman presented with left abdominal pain and was diagnosed with pancytopenia resulting from a wandering spleen and splenomegaly. On subsequent follow-up, her abdominal pain improved. Thirteen years after her first admission, she then presented with subcutaneous bleeding and hematuria and was diagnosed with severe thrombocytopenia (0.1×10⁴/mm³) caused by immune thrombocytopenic purpura (ITP) combined with splenomegaly. Since the platelet count did not improve sufficiently with medical treatment, laparoscopic splenectomy was performed. The patient's postoperative course was uneventful, and the platelet count increased gradually. Thrombocytopenia has not recurred 6 months after surgery. A rare case of ITP with a wandering spleen and splenomegaly is reported.