Laparoscopic splenopexy and gastropexy for wandering spleen associated with gastric volvulus

Okazaki, Tadaharu; Ohata, Rumi; Miyano, Go; Lane, Geoffrey J.; Takahashi, Toshiaki; Yamataka, Atsuyuki

doi:10.1007/s00383-010-2657-7

Cited by 29 publications

(25 citation statements)

References 18 publications

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“…One patient was operatively managed with an open partial splenectomy to remove only the infarcted area of splenic tissue followed by splenopexy for the viable portion of the spleen [14]. Within the patients who underwent splenopexy, three patients underwent splenopexy and gastropexy for gastric volvulus (two were performed by laparotomy and one by laparoscopy) [15-17]. Splenic cysts were noted in two cases thus requiring splenopexy and cystectomy, both performed as open procedures [18,19].…”

Section: Discussionmentioning

confidence: 99%

Non-operative management of a rare diagnosis of splenic torsion in a child with a history of giant omphalocele: a case report and literature review

et al. 2014

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BackgroundSplenic torsion is rare and as a result the appropriate management is unclear. While there has been a shift towards splenectomy and laparoscopic splenopexy, we present a successful case of non-operative management of splenic torsion in a patient with a history of a giant omphalocele.Case presentationA 3 year-old female presented with a three-day history of abdominal pain, fever and non-bloody emesis three and a half years after repair of her giant omphalocele. Abdominal radiographs and ultrasound demonstrated migration of the spleen and a subsequent computerized tomography scan confirmed splenic torsion and an infarcted spleen. Given her late presentation, she was successfully managed with observation, analgesia, immunization against capsulated organisms and daily penicillin prophylaxis with excellent outcome at 19 months follow-up. A review of the literature revealed that splenic torsion is rarely managed non-operatively. Rarer still is the occurrence of splenic torsion following a history of omphalocele.ConclusionAlthough rare, splenic torsion should be considered in a child with a history of omphalocele presenting with abdominal pain. Non-operative management of an infarcted spleen can be a safe treatment option to avoid surgery in complex patients.

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Section: Discussionmentioning

confidence: 99%

Non-operative management of a rare diagnosis of splenic torsion in a child with a history of giant omphalocele: a case report and literature review

et al. 2014

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“…Association of WS with recurrent acute pancreatitis or urinary symptoms (enuresis and hydronephrosis) or gastric volvulus and duodenal obstruction have also been described. 2,3 The mechanism by which pancreatitis is determined is difficult to demonstrate; it could be secondary to compression from either the splenic vessels or the stomach.…”

Section: Discussionmentioning

confidence: 99%

“…The former results from a lack of development of the primary ligamentous attachments of the spleen; the association with additional congenital abnormalities such as renal agenesis, gastric volvulus, congenital diaphragmatic hernia, and Gaucher's disease suggests a related etiology between WS and these other abnormalities. 3,4 The acquired form is typically diagnosed in adult women in the childbearing age and is thought to be caused by a laxity of these ligaments secondary to hormonal changes related to …”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Acute Pancreatitis and Gastric Outlet Obstruction Associated with Wandering Spleen Treated by Laparoscopic Splenopexy

Magno

Nanni

Retrosi

et al. 2011

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Wandering spleen (WS) is an uncommon condition, usually asymptomatic, often recognized as an incidental finding. When symptoms occur, they can vary, although acute abdominal pain is the most common presentation in the pediatric population. In some cases, WS can become a dangerous condition because of the risk of splenic ischemia from persistent pedicle torsion. We describe a case of WS in a 3-year-old boy presenting with vomiting, abdominal swelling, and acute pancreatitis; the diagnosis was obtained by ultrasound and computed tomography. Laparoscopic splenopexy was successfully performed through an extraperitoneal pocket and a Vicryl mesh. To the best of our knowledge, the combination of gastric outlet obstruction and acute pancreatitis has never been reported as presenting symptoms of WS.

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“…In this context, laparoscopic surgery is the procedure of choice. It allows for an etiological diagnosis, a good evaluation of the surgical situation while offering several therapeutic possibilities: splenectomy (Carmona et al, 2010), splenopexy (Hirose et al, 1998;Kleiner et al, 2006), gastropexy (François-Fiquet et al, 2009;Fiquet-François et al, 2010) or even a combination of several techniques such as gastropexy and splenopexy (Okazaki et al, 2010) The choice for classic open surgery or laparoscopic surgery varies according to the different surgical teams. When there is no history of abdominal surgery, laparoscopic procedure seems to be the procedure of choice.…”

Section: Surgical Approachesmentioning

confidence: 99%

Laparoscopic Gastropexy for the Treatment of Wandering Spleen With or Without Gastric Volvulus

Francois-Fiquet¹,

Avisse²,

Ludot³

et al. 2011

Updated Topics in Minimally Invasive Abdominal Surgery

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Laparoscopic splenopexy and gastropexy for wandering spleen associated with gastric volvulus

Cited by 29 publications

References 18 publications

Non-operative management of a rare diagnosis of splenic torsion in a child with a history of giant omphalocele: a case report and literature review

Non-operative management of a rare diagnosis of splenic torsion in a child with a history of giant omphalocele: a case report and literature review

An Unusual Case of Acute Pancreatitis and Gastric Outlet Obstruction Associated with Wandering Spleen Treated by Laparoscopic Splenopexy

Laparoscopic Gastropexy for the Treatment of Wandering Spleen With or Without Gastric Volvulus

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