Sonographic Diagnosis of a Subclinical Wandering Spleen

Chen, Jhih-Wei; Yeh, Da-Ming; Peng, Shu-Hui; Chen, Gwo-Shen; Tseng, Yi-Hsun; Lin, Ching-Wen; Tyan, Yeu–Sheng; Tsao, Teng-Fu

doi:10.7863/jum.2012.31.3.483

Cited by 9 publications

(8 citation statements)

References 12 publications

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“…Abdominal ultrasound are using to measure the spleen's dimension, to evaluate the echogenicity of the splenic parenchyma. In Doppler ultrasound, the decrease or missing of blood flow in splenic artery or spenic vein are suggestive of torsion of vascular pedicle [7,8]. In our case, the diagnosis of splenic torsion by abdominal ultrasound was difficult due to abdominal air.…”

Section: Case Presentationmentioning

confidence: 60%

“…The diagnosis can be confirmed by abdominal ultrasound, abdominal pelvic CT scan or abdominal magnetic resonance imaging (MRI). In addition, Chen has been reported the advantage of an abdominal ultrasound for the diagnosis of a subclinical wandering spleen [7]. Abdominal ultrasound could confirm the diagnosis by showing the vacuity of the splenic lodge.…”

Section: Case Presentationmentioning

confidence: 99%

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Torsion of the Vascular Pedicle of A Wandering Spleen: An Unusual Cause of Intestinal Strangulation

et al. 2021

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Ectopic spleen is a rare splenic malformation. Apart from torsion of the vascular pedicle, a common complication, an ectopic spleen could be responsible of an acute intestinal obstruction. We report a case of an 8-year-old girl who presented an acute abdomen, following of the transverse colon strangulation by the torsion of the vascular pedicle of a wandering spleen. The patients benefited a surgical opening into the abdomen who has been confirmed the diagnosis and made a detorsion of the vascular pedicle of spleen with splenopexy.The interest of this case report lies on the rarity of a wandering spleen and on the unusual situation of transverse colon strangulation by the vascular pedicle of spleen.

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Section: Case Presentationmentioning

confidence: 60%

Section: Case Presentationmentioning

confidence: 99%

Torsion of the Vascular Pedicle of A Wandering Spleen: An Unusual Cause of Intestinal Strangulation

et al. 2021

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“…In addition to a clinical and ultrasonographic evaluation, we have used also a MR protocol. The literature suggests that Doppler ultrasound is used to check the spleen position and parenchymal flow [ 20 – 23 ]. Some authors describe CT scan as the best choice to identify this rare condition [ 24 ], although Buckley et al [ 25 ] suggest that MR imaging may confer certain advantages because of its lack of ionizing radiation, as well as its superior tissue characterization, and it is not operator dependent.…”

Section: Discussionmentioning

confidence: 99%

Spleen assessment after laparoscopic transperitoneal left adrenalectomy: preliminary results

et al. 2015

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Background Several laparoscopic approaches to the adrenal gland have been described. We prefer the lateral transabdominal approach. The aim of this study is to evaluate prospectively the presence of any anatomical and dynamic changes in the spleen after laparoscopic transperitoneal left adrenalectomy (LTLA), which can cause an increased risk of early and late complications. MethodsWe have evaluated 21 patients before and 6 months after surgery in order to verify the possible presence of a wandering spleen. A clinical and instrumental follow-up [ultrasound (US), magnetic resonance (MR)] were performed. During US protocol, in supine, right lateral, and orthostatic position, the longitudinal and anteroposterior diameter of the spleen and the resistive index within 3 cm of the origin of the splenic artery in three different measurements averaged were measured. MR protocol evaluated, in supine and right lateral position, the splenic volume and its distances from the diaphragm dome and the lateral margin of the costal arch.Resultsp Values calculated for each parameter were not statistically significant. Our results confirm the absence of any anatomical and dynamic changes in the spleen after LTLA.ConclusionsThe most common complications after laparoscopic adrenalectomy are well known and widely described. Our experience does not exclude the occurrence of a wandering spleen, but allows us to state that a rightful mobilization of the pancreaticosplenic block can avoid this event, and in agreement with other authors, the presence of a wandering spleen remains an isolated complication.

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“…Ligamentous laxity can be acquired due to conditions such as splenomegaly or pregnancy; however, it is often congenital 3 . Many cats with a wandering spleen have symptoms such as abdominal pain, but asymptomatic cases have also been reported 4 . Treatment of the wandering spleen in humans involves the risk of torsion; hence, surgeries such as splenectomy or gastropexy are commonly performed 5 …”

Section: Introductionmentioning

confidence: 99%