Torsion in a paediatric wandering spleen: Case report and review of literature

Singla, Sham; Rattan, KN; Sharma, Shambhu N.; Bansal, Satish

doi:10.4103/0971-9261.31087

Cited by 7 publications

(5 citation statements)

References 0 publications

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“…Treatment of WS depends on the clinical presentation, vascular status, size, and functional reservoir of the spleen. Splenectomy is the treatment of choice for WS with complications like splenic torsion with infraction and rupture [4]. Early diagnosis and immediate intervention are of great importance due to life-threatening complications of WS.…”

Section: Introductionmentioning

confidence: 99%

Wandering spleen with torsion: a rare cause of acute abdomen in a 14-year-old girl

Bairwa¹,

Gupta

Singh³

et al. 2022

Arch Clin Cases

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Wandering spleen is a rare condition and defined as the spleen that is not in its normal anatomical position due to lack or laxity of suspensory ligaments. Etiological factors are congenital and acquired. Splenic torsion, infraction, and rupture are life-threatening complications of wandering spleen. A 14-year-old girl patient presented to the emergency department with severe pain abdomen for 2 days. On physical examination, a large palpable mass in the mid of the abdomen was found, and CECT confirmed it as torsion of wandering spleen. Emergency exploration is done and splenectomy was done due to non-viability of the spleen. The Post-op period was uneventful. Acute torsion of wandering spleen is an extremely rare clinical entity and patient present in an emergency with clinical features of acute abdomen. They may also present with chronic pain abdomen and abdominal mass. Early diagnosis is vital for the preservation of the spleen. Radiological studies have an important role in an accurate diagnosis. Surgery is the gold standard treatment of wandering spleen. Surgery for splenopexy or splenectomy depends on the condition of the spleen during surgery. Timely diagnosis and interventions are crucial to prevent life-threatening complications of wandering spleen.

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Section: Introductionmentioning

confidence: 99%

Wandering spleen with torsion: a rare cause of acute abdomen in a 14-year-old girl

Bairwa¹,

Gupta

Singh³

et al. 2022

Arch Clin Cases

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show abstract

“…As a result, the choice between splenopexy and splenectomy (open or laparoscopic) depends on the clinical state of patient and surgeon’s expertise [ 3 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…The spleen’s weight, length of pedicle, and degree of ligamentous laxity, are the parameters affecting the severity of the splenic torsion [ 3 ]. Imaging studies have an important role in diagnosis, and computed tomography and ultrasound are the preferred modalities.…”

Section: Introductionmentioning

confidence: 99%

Wandering spleen with splenic torsion: Report of two cases

Virani

Farbod

Niknam

et al. 2021

International Journal of Surgery Case Reports

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“…Many surgical techniques are described for splenopexy including laparoscopic splenopexy, fixation of the capsule to the left upper quadrant, creation of a posterolateral extraperitoneal pocket at the level of the 12th rib, mobilisation of the splenic flexure with gastropexy, use of a polyglycolic mesh bag and hemisplenectomy with fixation of residual spleen. [8][9][10][11][12][13] In our experience in Malawi, patients pose a further problem due to chronic malaria leading to enlarged spleens which have tough capsules that tear easily and are difficult to suture. This needs to be taken into consideration when planning the type of splenopexy.…”

Section: Figure 1 Discussionmentioning

confidence: 99%