Acute torsion of a wandering spleen in a post-partum female: A case report

Abstract

Prompt recognition and intervention are necessary in order to minimize the risk of complications. For this reason physicians have to include the condition in the differential diagnosis of acute abdominal pain especially when they encounter females in a pregnancy or post-natal period.

Wandering spleen in a postpartum female: A case report

“…WS, which was first described by Van Horne in 1667 1 , 6 , is a rare condition that affects less than 0.2% worldwide 4 , 11 and can travel from a normal location to anywhere in the pelvic or abdominal cavity 1 , 7 . The spleen is normally fixated in the LUQ by three ligaments: gastrosplenic, splenorenal, and splenocolic 2 , 5 .…”

“…Ectopic spleen, which is also called displaced spleen, floating spleen, pelvic spleen, ptotic spleen, or splenoptosis, may occur by either congenital or acquired cause 4 , 9 , 11 . The etiology of acquired causes is the laxity of the splenic ligaments due to connective tissue disorders, hormonal changes in multiparity women, splenomegaly, trauma, and previous abdominal surgery 8 , 12 , 14 .…”

“…The etiology of acquired causes is the laxity of the splenic ligaments due to connective tissue disorders, hormonal changes in multiparity women, splenomegaly, trauma, and previous abdominal surgery 8 , 12 , 14 . The congenital causes are due to the underdevelopment of dorsal mesogastrium leading to the absence or abnormal development of one or more of the splenic ligaments, which is associated with the elongation of the vascular pedicle 9 , 11 .…”

Splenectomy for E. coli abscess: A case report with a difficult preoperative diagnosis and unclear pathogenesis

“…The recognized risk factors are neoplasm, immunodeficiency, trauma, metastatic infection, splenic infarction and diabetes [3] . The improvement of diagnostic imaging modalities such as computerized tomography (CT) and ultrasonography (US) allows a faster and more accurate diagnosis [4] , [5] , [6] . The treatment of splenic abscess is still controversial and is based on antibiotic therapy, percutaneous drainage (PCD) or splenectomy, which still remains the best option [7] , [8] , [9] , [10] .…”

Laparoscopic Transperitoneal Left Adrenalectomy and Wandering Spleen Risk

“…When present in adults, WS may be the delayed onset of congenital conditions or an acquired disease from abdominal wall laxity due to the hormonal effects of pregnancy. 13 Some authors have associated it with splenomegaly, although there is no higher incidence of WS in areas of endemic splenomegaly. In adults, it usually occurs as a mobile abdominal mass, whereas in children, it presents as acute or chronic abdominal pain 14 and can be associated with a history of congenital diaphragmatic hernia 15 or prune belly syndrome.…”