Wagensteen1 states that a "wandering spleen" can produce extrinsic pressure on the colon and can cause partial large-bowel obstruction. The following case is the first reported in which a splenic-gonadal fusion produced similar findings. The patient also has severe ectromelia.
Report of Case
A 15-year-old boy was admitted to Chicago Wesley Memorial Hospital on Jan. 20, 1960, complaining of abdominal pain of 24-hours' duration. The pain was cramping in nature and had gradually localized to the right side of the abdomen. He had anorexia, nausea, and had vomited once. There was no history of chronic constipation or similar abdominal pains. However, he had no stool during the week prior to his admission. Other than the usual childhood diseases, his health had been good and he had had no surgery.On physical examination his temperature was 99.8 F, orally, the blood pressure 96/60, and the pulse 126 per minute. The
HINES JR, EGGUM PR. Splenic-Gonadal Fusion Causing Bowel Obstruction. Arch Surg. 1961;83(6):887–889. doi:10.1001/archsurg.1961.01300180087016
* * SCHEDULED MAINTENANCE * *
The JAMA Network Sites will be conducting routine maintenance from 10/20/2017 through 10/21/2017. During this window access to content and authentication may be intermittently available. The JAMA Store will be completely unavailable during the maintenance window.