Patients with gastric volvulus recurrence have high incidence of wandering spleen requiring laparoscopic gastropexy and splenopexy

Nakagawa, Yoshifumi; Uchida, Hiroo; Amano, Hodaka; Hinoki, Akinari; Tainaka, Takahisa; Shirota, Chiyoe; Sumida, Wataru; Yokota, Kazuki; Makita, Satoshi; Okamoto, Masayuki; Takimoto, Aitaro; Yasui, Akihiro; Takada, Shunya; Kato, Daiki

doi:10.1007/s00383-022-05125-y

Cited by 2 publications

(1 citation statement)

References 25 publications

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“…In pediatric populations where the spleen is smaller and gastric gangrene has not set in, laparoscopic splenopexy and gastropexy have been reported with successful results. 9 , 10 However, with the preservation of the spleen, the concern for recurrence of gastric volvulus in adults is a possibility, but long-term data is not available.…”

Section: Discussionmentioning

confidence: 99%

Wandering Spleen and Acute Gastric Volvulus in an Elderly Woman with Acute Abdomen: A Case Report

Basu,

Pratap,

Bhartiya

et al. 2023

CEG

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Gastric volvulus is an uncommon clinical condition with the potentially life-threatening complication of acute gastric necrosis. A wandering spleen may also be associated with gastric volvulus and can produce a diagnostic dilemma as the cause of an acute abdomen. We present a case of an elderly woman who presented with acute abdominal symptoms. She did not have the classical Borchardt triad to diagnose gastric volvulus and had a coexisting wandering spleen. Although torsion and ischemia of the wandering spleen were initially thought to be the cause of acute abdomen, a subsequent contrast-enhanced CT (CECT) scan confirmed a coexistent mesenteric-axial gastric volvulus with gangrenous changes. We present this case to highlight a rare combination of pathologies, either of which can confuse the diagnosis or cause a delay in management. Early diagnosis with CECT is emphasized, and segmental resection is feasible when the rest of the viscus can be preserved.

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Section: Discussionmentioning

confidence: 99%

Wandering Spleen and Acute Gastric Volvulus in an Elderly Woman with Acute Abdomen: A Case Report

Basu,

Pratap,

Bhartiya

et al. 2023

CEG

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Emergent laparoscopic mesh splenopexy for wandering spleen torsion: A case report at Tam Anh Hospital

Triệu

2023

VJESL

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Tóm tắt Lách lạc chỗ là khi lách di động đến vị trí bất thường do thiểu sản dây chằng lách. Đây là một bệnh cảnh hiếm gặp, việc chẩn đoán và điều trị luôn là thách thức. Ca lâm sàng của chúng tôi là một bệnh nhân nữ, 13 tuổi, đến khám vì đau bụng âm ỉ 4 ngày, được chẩn đoán xoắn lách sớm gây ứ máu lách, được phẫu thuật nội soi tạo hình khâu treo lách bằng lưới nhân tạo. Sau phẫu thuật, người bệnh ổn định, ra viện ngày thứ 7, không biến chứng. Chúng tôi báo cáo ca lâm sàng nhằm chia sẻ kinh nghiệm trong chẩn đoán và phẫu thuật tạo hình treo lách. Từ khoá: Lách lạc chỗ, xoắn lách, khâu treo lách Abstract Case presentation: Splenic torsion is characterized by the mobility of the spleen due to anomaly in splenic ligament, congenital or acquired. The condition is rare with diverse manifestations ranging from asymptomatic to surgical emergency, therefore, diagnosis and treatment has been a great challenge. Our patient was a 13-year-old girl who came to the clinic due to 4 days of dull abdominal pain. On admission to Tam Anh hospital, the patient was diagnosed with early splenic torsion causing splenic edema, but no sign of ischemia. The patient was treated with laparoscopic splenopexy using artificial mesh. The patient was discharged on the post-operative 7th day without complications. Therefore, we report our case, to share our experiences in diagnosis and techniques of laparoscopic splenopexy surgery with mesh. Keywords: Splenic torsion, wandering spleen, ectopic spleen, splenopexy

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Patients with gastric volvulus recurrence have high incidence of wandering spleen requiring laparoscopic gastropexy and splenopexy

Cited by 2 publications

References 25 publications

Wandering Spleen and Acute Gastric Volvulus in an Elderly Woman with Acute Abdomen: A Case Report

Wandering Spleen and Acute Gastric Volvulus in an Elderly Woman with Acute Abdomen: A Case Report

Emergent laparoscopic mesh splenopexy for wandering spleen torsion: A case report at Tam Anh Hospital

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