The wandering spleen: an unusual case of thrombocytopenia

Figures & data

Figure 1 Cystic appearance to left lung with elevated hemidiaphragm.

Figure 2 Abdominal contents including bowel and massively enlarged spleen.

Table 1 Causes of thrombocytopenia

Decreased production	Increased destruction	Sequestration
Bone marrow suppression	Pregnancy	Hypersplenism
Medication induced	Gestational thrombocytopenia	Chronic liver disease
Infection (viral, bacterial, fungal)	Preeclampsia (HELLP)	Collagen vascular disease
Malignancy		Primary splenic neoplasm
Nutritional
Congenital	Immune-mediated
Bernard–Soulier syndrome	Primary immune thrombocytopenia
Wiskott–Aldrich syndrome	Lupus
Fanconi syndrome	Medication induced
Thrombocytopenia-absent radius syndrome
	Nonimmune-mediated
	Thrombotic thrombocytopenia purpura
	Hemolytic uremic syndrome
	Disseminated intravascular coagulation

Abbreviation: HELLP, hemolytic anemia, elevated liver enzymes, and low platelet count.