A Wandering Spleen Presenting as an Acute Abdomen: Case Report

Kapan, Murat; Gümüş, Metehan; Önder, Akın; Gümüş, Hatice; Aldemir, Mustafa

doi:10.1016/j.jemermed.2010.06.029

Cited by 29 publications

(39 citation statements)

References 6 publications

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“…WS is an uncommon clinical finding wherein the spleen is located at a position other than its usual anatomical position. In addition, it may be attributed to the absence or laxity of the supporting structures which could be either congenital or acquired [3,4]. Although WS can be diagnosed in all age groups, it is 10 times more common among women in adulthood and is seen more often in women of reproductive age.…”

Section: Discussionmentioning

confidence: 99%

“…Wandering spleen (WS) is characterized by displacement of the spleen from its normal position with an excess mobility. Although it's etiologies are multifactorial, WS is often associated with hypermobility of the spleen because of laxity or absence of the ligaments that fix spleen to its normal position [3]. Therefore, the spleen drifts freely within the abdominal cavity under the diaphragm, resulting in torsion of its vascular pedicle and an acute abdominal pain.…”

Section: Introductionmentioning

confidence: 99%

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Unusual association of Axenfeld-Rieger syndrome and wandering spleen: a case report

Lin

Chang

et al. 2020

Preprint

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Background : Axenfeld–Rieger syndrome (ARS) is an autosomal dominant genetic disease characterized by ocular developmental disorders and it’s association with torsion of wandering spleen (WS) has not been reported to date to the best of our knowledge. This study aimed to describe a rare case of ARS observed at our emergency department. Case Presentation : A 25-year-old female presented with a constant lower abdominal pain of increasing severity. Diagnostic computed tomography with intravenous contrast material showed a nonhomogenously enhanced splenic parenchyma with a twisted vascular pedicle. Further, an emergent laparoscopic exploration was performed, and an ischemic spleen without its normal ligamentous attachments was noted. Notably, the spleen did not regain its normal vascularity after detorsion; thus, we performed the laparoscopic splenectomy. The postoperative course was uneventful, and the patient was discharged on the 5 th postoperative day. This case demonstrates a rare association of WS and ARS. Conclusion : Early diagnosis of WS in the emergency department is important to prevent pedicle torsion or splenic necrosis and to avoid splenectomy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Unusual association of Axenfeld-Rieger syndrome and wandering spleen: a case report

Lin

Chang

et al. 2020

Preprint

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“…Ayrıca, GD'ın retroperitoneumda hazırlanmış bir cebe tespit edilmesi veya gastrokolik ligamanın açılarak dalağın normal anatomik yerine yerleştirilmesi teknikleri de vardır [10,11]. Enfark, trombositosız ve hipersplenizm bulguları olmayan olgularda detorsiyon ve splenopeksi yapılır.…”

Section: Discussionunclassified

İleusun nadir bir nedeni: Gezici dalak

et al. 2015

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“…Wandering spleen, defined as a spleen without peritoneal attachments, is a rare entity with an incidence of less than 0.5% (1,2). It can also occur when the suspensory splenic ligaments are weakened by processes such as trauma, pregnancy and connective tissue diseases.…”

Section: Introductionmentioning

confidence: 99%

“…Splenectomy is indicated in the presence of torsion, splenic vein thrombosis or splenic infarction. Detorsion with splenopexy is the preferred choice of treatment in cases of viable wandering spleen (1,3). We present a case of wandering spleen in a young woman with chronic pelvic pain.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic splenectomy for a wandering spleen causing chronic pelvic pain

Yoldaş

Karabuğa

Özsan

et al. 2016

UCD

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Wandering spleen is a rare condition with a reported incidence of less than 0.5% in which the spleen migrates from its normal anatomical location to any other position in the abdomen. Women constitute 80% of cases and one third of the overall patients are children. It has different clinical presentations such as asymptomatic, painless mass in the abdomen, intermittent abdominal pain and acute abdomen due to torsion of the vascular pedicle. Here we present a case of wandering spleen causing chronic pelvic pain. Laparoscopic splenopexy was the treatment choice but it could not be performed due to huge size of the wandering spleen.

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A Wandering Spleen Presenting as an Acute Abdomen: Case Report

Cited by 29 publications

References 6 publications

Unusual association of Axenfeld-Rieger syndrome and wandering spleen: a case report

Unusual association of Axenfeld-Rieger syndrome and wandering spleen: a case report

İleusun nadir bir nedeni: Gezici dalak

Laparoscopic splenectomy for a wandering spleen causing chronic pelvic pain

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