Laparoscopic splenectomy for a wandering spleen causing chronic pelvic pain

Abstract

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.

Giant accessory spleen and rotating ectopic kidney: A rare association

“…The report showed a nodule with behavior similar to the splenic parenchyma during the dynamic contrast phase when BA was then included in the list of differential diagnoses. Preoperative diagnosis of the accessory spleen is difficult, especially in emergencies [17][18][19]24]. CT scans show a well-margined mass, similar to the splenic parenchyma on the contrast phase.…”

“…Congenital anomalies of the upper urinary tract involving kidneys and ureters occur in 3% to 4% of those born, with abnormalities in the shape and position of the organs being the most common [7,23]. Most of these renal anomalies are followed clinically, requiring a correct diagnosis of the morphological alteration, as well as the evaluation of possible complications [24][25][26]. During the review of the literature on the topic, the authors not found reports of an association between an accessory spleen and an ectopic kidney.…”