Paediatric wandering spleens in Malawi.

نویسندگان

  • E Broadis
  • M K Banda
  • E M Molyneux
  • E Borgstein
چکیده

Case I An 11-year-old male presented with a two-month history of abdominal pain and wasting and a one-month history of abdominal distension. He was otherwise fit and well with no significant past medical or family history. He was on no medications and had no known allergies. On examination he was wasted with a weight of 19 kilograms. His abdomen was moderately distended with a huge tender mass extending from the right upper quadrant to the right lower quadrant. A Fine Needle Aspiration, Full Blood Count, Hepatitis B Serology, Stool and Urine Culture and Microscopy, Bone Marrow Aspiration and Ultrasonography of the abdomen were performed. Ultrasonography reported a large mass 10 X 20 cm, with normal liver, pancreas and kidneys. The working diagnosis was Burkitts Lymphoma and he was commenced on Cyclophosphamide. Unfortunately the fine needle aspiration was inconclusive and he did not respond to chemotherapy. He was taken to theatre for a laparotomy where a diagnosis of torsion of a wandering spleen was made (See Figure 1). The splenic artery was thrombosed and a splenectomy was performed. The child made an uneventful postoperative recovery and was discharged home on monthly benzathine penicillin prophylaxis.

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عنوان ژورنال:
  • Malawi medical journal : the journal of Medical Association of Malawi

دوره 22 4  شماره 

صفحات  -

تاریخ انتشار 2010