Ectopic Pelvic Spleen

Hatfield, Philip M.; Clouse, Melvin E.; Cady, Blake

doi:10.1001/archsurg.1976.01360230103022

Cited by 19 publications

(4 citation statements)

References 7 publications

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“…116 Meanwhile, Hatfi eld et al stated that a "splenopexy, which was advocated in the past, has no place in the management of this rare and interesting congenital variant." 49 Witz et al explained that "the old operations of splenopexy and detorsion have no place in modern surgical practice." 63 Another investigator suggested that "because of the dangers of torsion and predisposition of trauma to an unprotected, abnormally located spleen, a splenectomy is the best treatment of WS in any situation."…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Patients with Wandering Spleen: Report of Six Cases with a review of the literature

et al. 2007

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Wandering spleen, which is defined as a spleen without peritoneal attachments, is a rare disease and a delay in the clinical and/or radiological diagnosis may lead to splenic torsion, infarction, and necrosis. Owing to the physiologic importance of the spleen, especially in children, and the risk of postsplenectomy sepsis, early diagnosis and splenopexy are recommended. In the present article, we describe the results of our management of this rare problem on six patients, and we review all available literature from 1895 to 2005. Briefly, our technique includes flap creation from parietal peritoneum and settlement of spleen in the fossa splenica. Free edges of this flap are stitched to the stomach and the left end of transverse colon and the beginning of the descending colon. The body of the stomach was stitched to the abdominal wall to prevent gastric volvulus, while the fundus region was fixed to the diaphragm to support the spleen. Finally, an omental patch was stitched to the intact abdominal wall above the flap. In conclusion, the procedure of splenopexy without using mesh is considered to be a safe and curative modality for wandering spleen without imposing any undue risk of infection or foreign material reaction.

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Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Patients with Wandering Spleen: Report of Six Cases with a review of the literature

et al. 2007

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“…The entity "wandering spleen" was first described by Van Horne in 1667 in an autopsy specimen (5). Hatfield et al (6), on the other hand, were the first to define the ectopic spleen using selective angiography preoperatively, in 1976 . Congenital and acquired reasons can cause wande-ring spleen.…”

Section: Discussionmentioning

confidence: 99%

Contrast-Enhanced Computed Tomography Findings of the Torsioned Wandering Spleen: A Case Report

Özçağlayan

Gülek³

2018

Sisli Etfal

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Contrast-enhanced computed tomographic findings of the wandering spleen: a case report Objective: Wandering spleen is a rare entity that defines abnormal localization of spleen due to various causes. Wandering spleen is prone to rotate on its pedincular axis and finally torsion and in-farction. Contrast enhanced computed tomography can visualize the torsioned pedincle and non enhanced parenchyma with contrast medium. Case: A 60 year old woman who had abdominal pain was admitted to ER. Contrast enhanced computed tomography depics the abnormal localization of spleen and absence of contrast medium in the parenchyma and pedincle. Diagnosis was torsioned wandering spleen. Conclusion: Contrast enhanced computed tomography is very important useful modality for diagnosis of torsioned wandering spleen

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“…Hatfield (11) asserts splenopexy has no place in the management of a floating spleen, because normal fixation cannot be reestablished. "Although it is possible to suture the splenic pedicle in place, sutures cannot be placed through the splenic pulp ...".…”

Section: Discussionmentioning

confidence: 99%