Successful treatment of floating splenic volvulus: Two case reports and a literature review

Sun, Chuanyu; Li, Suolin

doi:10.12998/wjcc.v9.i29.8812

Cited by 2 publications

(2 citation statements)

References 35 publications

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“…The twisted splenic pedicle demonstrates a whirlpool configuration. 12 When the diagnosis is made, surgical exploration is indicated. In the absence of splenic necrosis, the treatment of choice is splenoplexy, followed by detorsion to fix the spleen in its normal anatomical position.…”

Section: Discussionmentioning

confidence: 99%

Volvulus of a wandering enlarged pelvic spleen involving pancreatic tail: A case report

Lakmal,

Nagasinghe,

Niruban

et al. 2023

SAGE Open Medical Case Reports

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Splenic volvulus of wandering spleen is a rare clinical condition. It causes significant morbidity and mortality, especially if undetected. Here, we report a case of 32-year-old female who presented with worsening abdominal pain for 1-week duration. Contrast-enhanced computed tomography scan of the abdomen showed splenic volvulus with infarction and involvement of the pancreatic tail. She underwent exploratory laparotomy and splenectomy with preservation of the pancreatic tail. Patient progressed favourably. Our case report describes a rare clinical entity of a splenic volvulus with a twisted pancreatic tail. This is a life-threatening condition that requires prompt diagnosis and treatment.

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Section: Discussionmentioning

confidence: 99%

Volvulus of a wandering enlarged pelvic spleen involving pancreatic tail: A case report

Lakmal,

Nagasinghe,

Niruban

et al. 2023

SAGE Open Medical Case Reports

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“…Among the possible postoperative complications of splenic fixation, splenic ischemia, infarction, and recurrent torsion may occur, independent of the chosen technique [51].…”

Section: Discussionmentioning

confidence: 99%

Surgical Management of a Volvulus of a Wandering Spleen Associated with a Volvulus of the Small Intestine

Maienza

Chéreau

Ménégaux

2022

Case Reports in Surgery

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Introduction. A wandering spleen is a rare anatomical condition characterized by a free-floating splenic tissue that is not located in its normal position in the left upper quadrant. This condition is usually asymptomatic but can also manifest itself with volvulus of the spleen and consequent infarction and necrosis of the parenchyma, requiring an urgent surgical management. Additionally, a wandering spleen can be associated with other contemporaneous anatomical anomalies. Case Presentation. We report a case of a 21-year-old woman, admitted to our hospital for intense abdominal pain and vomiting. A CT scan revealed a wandering spleen in the mesogastric area with the spleen torted on its axis, associated with a volvulus of the small intestine. Abdominal exploration revealed a macroscopically normal free-floating spleen attached to an abnormally long vascular pedicle. The management of the wandering spleen was conservative, and a splenopexy was performed. Conclusions. The torsion of the wandering spleen constitutes an infrequent but life-threatening abdominal emergency. The diagnosis of the wandering spleen is frequently challenging since clinical findings are usually not specific. Imaging such as computed tomography scan plays an important role in the differential diagnosis pathway. Treatment should be planned according to the splenic parenchyma conditions. Splenectomy is indicated when massive infarction and thrombosis of splenic vessels have occurred. When splenic parenchyma is not compromised, it is preferred to perform a conservative surgical technique, such as splenopexy, in order to avoid postsplenectomy complications.

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Successful treatment of floating splenic volvulus: Two case reports and a literature review

Cited by 2 publications

References 35 publications

Volvulus of a wandering enlarged pelvic spleen involving pancreatic tail: A case report

Volvulus of a wandering enlarged pelvic spleen involving pancreatic tail: A case report

Surgical Management of a Volvulus of a Wandering Spleen Associated with a Volvulus of the Small Intestine

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