Splenic torsion after congenital diaphragmatic hernia repair: Case report and review of the literature

Wandering spleen caused by subcapsular haemorrhage

“…A wandering spleen comprises less than 0.2% of all splenectomies and is characterised by migration of the spleen from the left upper quadrant to elsewhere in the abdomen 1. Most patients present in childhood, resulting from a congenital anomaly in the mesogastrium or splenic suspensory ligaments or in adulthood when women develop an acquired laxity of those ligaments after hormonal changes in pregnancy 1 2.…”

“…Thus, a wandering spleen should be on the differential diagnosis for any new abdominal mass in patients with any of these factors, especially in cases with thrombocytopaenia posing additional risk of subcapsular haemorrhage. Patients who experience torsion of the splenic vascular pedicle or spleen necrosis may present with an acute abdomen1 and CT scans are the preferred diagnostic study 1. Splenectomy has been the treatment of choice but splenopexy has been successfully reported in patients with viable spleens 1 3.…”

Reoperations in High Risk Group Children With Congenital Diaphragmatic Hernia

“…Особливо небез-печною в плані хірургічних ускладнень є підви-щення мобільності селезінки через подовження зв'язок, що представляє небезпеку її завороту [14]. Заворот селезінки з її некрозом виник у па-цієнта віком 14 років після операції з приводу лівобічної несправжньої ВДГ.…”

Wandering Spleen and Organoaxial Gastric Volvulus after Morgagni Hernia Repair: A Case Report and Review of the Literature

“…Wandering spleen and gastric volvulus are two rare entities that have been described in both adults and children in association with congenital diaphragmatic hernia [ 1 , 2 ]. The lack of development or incomplete formation of intraperitoneal suspensory ligaments, congenital or secondary to diaphragmatic defect, is a recognized common cause of these conditions [ 3 – 5 ].…”