Wandering spleen: a surgical enigma
نویسندگان
چکیده
Wandering spleen, also referred to as 'ptotic spleen', is a rare clinical condition characterized by splenic migration form its normal left hypochondrial position to any other abdominal or pelvic position. Among the multifactorial etiologies proposed, laxity of the spleen's primary supporting ligaments is the most agreed-upon hypothesis. We present one rare case of wandering spleen in an 11-year-old girl who presented with recurrent abdominal pain with no localizing features. Her abdominal examination revealed an intra-abdominal left iliac fossa lump with restricted mobility, which was confirmed as a wandering spleen by abdominal sonography and contrast-enhanced computed tomography. Intraoperatively, an infarcted spleen was encountered with tortuous, elongated, torsional splenic pedicle and a single dense adhesive band with descending colon. Splenectomy was offered to the patient. Post-operatively, the patient is healthy and symptom free at one-year follow-up. The rare clinical diagnosis of this condition, particularly in the paediatric age-group, makes it an enigma for the surgical world.
منابع مشابه
طحال سرگردان Wandering Spleen
Wandering spleen is a rare condition , which is characterized by excessive mobility of spleen , due to absence or lack of its suspensor ligaments , in which the spleen migrate from it’s normal position (left upper abdomen) to lower abdomen , and even into pelvis. The case was a 94-year young woman , admitted to Imam Khomeini Hospital with colic abdominal pain , without any previous history...
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Wandering spleen is an unusual surgical condition that is generally asymptomatic, but the long and mobile vascular pedicle of the spleen predisposes it to torsion. Various imaging modalities can be used to diagnose a wandering spleen. We present the case of a 23 year-old female patient with abdominal pain, in whom torsion of the spleen was diagnosed preoperatively, using color Doppler sonograph...
متن کاملTorsion of a wandering spleen.
We present an unusual case of torsion of a wandering spleen in a 14 year old boy. Wandering spleen is an entity which has rarely been reported in infants and children. Although patients may be asymptomatic, some may present as an acute surgical emergency if trauma or torsion of the vascular pedicle occurs, as in our case. The treatment of this condition is splenectomy.
متن کاملTorsion of a Wandering Spleen Presenting as Acute Abdomen
BACKGROUND Wandering spleen is a rare condition which if uncorrected, can result in torsion and infarction. Clinical presentation of a wandering spleen can vary from asymptomatic abdominal mass to acute abdominal pain. Radiological investigations play a pivotal role in diagnosis as the clinical diagnosis is usually impossible. CASE REPORT We present a case of wandering spleen with torsion and...
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عنوان ژورنال:
دوره 5 شماره
صفحات -
تاریخ انتشار 2017