[Skip to Content]
[Skip to Content Landing]
August 1988

Splenomegaly as a Cause of Fecal IncontinenceA New Problem in an Old Disease

Author Affiliations

From the Department of Medicine, Center for Blood Diseases, University of Miami Hospital and Clinics (Drs Rosen, Moreno, Harrington, and Wortzel), and the Department of Surgery, University of Miami School of Medicine (Dr Zeppa).

Arch Intern Med. 1988;148(8):1874-1875. doi:10.1001/archinte.1988.00380080130034

• Eight patients with fecal incontinence were seen. All eight patients had massive splenomegaly secondary to myelofibrosis and myeloid metaplasia. Six of the eight patients underwent splenectomy for hypersplenism. Five of the six had total improvement of the fecal incontinence. One died two weeks postoperatively and could not be evaluated. In our opinion, the fecal incontinence was related to the splenomegaly. The possible mechanism is discussed. If absolutely necessary for control of fecal incontinence in this situation, splenectomy should be considered.

(Arch Intern Med 1988;148:1874-1875)