Torsion of spleen and portal hypertension: Pathophysiology and clinical implications

Table 1 Summary of reported cases of wandering spleen with portal hypertension, n (%)

Clinico-demographic features	Remarks	Frequency (%)
Reported cases (n)		20
Mean age (range)		26.15 (12-55) yr
Male:female ratio		1:9
Presenting complaints	Upper GI bleeding	9 (45)
	Abdominal pain	8 (40)
	Abdominal mass	2 (10)
	Acute pancreatitis	1 (5)
Type of varices	Gastric varices	18 (90)
	Mesentric varices	5 (25)
	Splenic varices	6 (30)
Diagnosis of varices	Endoscopy	12 (60)
	GI series	2 (10)
	Imaging only	5 (25)
	Intra-operative	1 (5%)
Venous thrombosis	Splenic vein	3 (15)
	Portal vein	1 (5)
Splenic infarction		4 (20)
Definitive treatment	Splenectomy	20 (100)
Post-operative variceal status	Documented (n)	14/20 (70)
	Resolved (n)	14/14 (100)

GI: Gastrointestinal.