Wandering spleen as a cause of mesenteric and portal varices: A new etiology?

Zarroug, Abdalla E.; Hashim, Yassar; El–Youssef, Mounif; Zeidan, Moiz M.; Moir, Christopher R.

doi:10.1016/j.jpedsurg.2012.12.042

Cited by 14 publications

(10 citation statements)

References 12 publications

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“…Due to the unspecific clinical features of abdominal pain, imaging modalities play a crucial role in diagnosing ectopic spleen. These include ultrasonography, nuclear scintigraphy, contrast-enhanced computed tomography (CT) scanning, magnetic resonance imaging and angiogram [9]. Doppler ultrasound will guide the evaluation of splenic blood flow and organ viability.…”

Section: Discussionmentioning

confidence: 99%

Wandering spleen: a unique cause of acute abdomen

et al. 2018

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We present the case of a 16-year-old boy presented with 2-week episode of wor-sening lower abdominal pain. Clinically, there was a tender palpable mass on the suprapubic region. Ultrasonography showed an absent spleen at its usual area, instead suprapubic mass suggestive of ectopic spleen was identified. An emer-gency laparotomy revealed a congested spleen in the pelvic cavity. Splenectomy was undertaken as it was non-viable. The patient was discharged uneventfully with triple vaccinations. We describe this unique entity with its literature review. (Folia Morphol 2018; 77, 2: 400-402).

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Section: Discussionmentioning

confidence: 99%

Wandering spleen: a unique cause of acute abdomen

et al. 2018

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“…Заболевание может проявляться дизурией и диспепсией. Характерным является развитие гиперспленизма, который включает в себя анемию, тромбоцитопению, спленомегалию [2], а также синдрома портальной гипертензии [10]. К основным осложнениям «блуждающей» селезенки относят: перекрут, инфаркт, некроз, разрыв селезенки, гемоперитонеум [11].…”

Section: Discussionunclassified

Laparoscopic Splenopexy for a Child With Torsion of Wandering Spleen (Clinical Observation)

Соколов¹,

Коровин²,

Пыков³

et al. 2016

Med. sov.

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Перекрут «блуждающей» селезенки у детей является редким заболеванием, входящим в симптомокомплекс острой ишемии органов брюшной полости. Представлено клиническое наблюдение больного, оперированного по срочным показаниям после клинического и инструментального обследования, в ходе которого было высказано предположение о перекруте селезенки. Результаты проведенного инструментального обследования не были специфичными относительно предполагаемого диагноза, в связи с чем были сформулированы показания к лапароскопии, в ходе которой был подтвержден диагноз. Показана эффективность лапароскопических методик устранения перекрута селезенки и проведения фиксации органа.

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“…In cases complicated by gastric varices, meanwhile, elimination of the gastric varices is another purpose of the treatment in addition to symptom relief and relapse prevention. Regression of the varicose vein would be expected once the splenic vein was recanalized [ 6 ], but it is unpredictable pre- or intraoperatively. A recent multicenter study reported a complication of splenic ischemia after splenopexy with a mesh in 60% of cases [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…Splenectomy was selected in the 13 cases (93%), and the outcomes were satisfactory as the varicose veins were not detected with endoscopy or CT in all case follow-ups. Splenectomy was selected for two young patients complicating with not only gastric but also portal and mesenteric varices [ 6 ]. However, only a single case reported by Wani S et al underwent detorsion and splenopexy in which elimination of the gastric varices was confirmed with the follow-up endoscopy [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic splenectomy for a wandering spleen complicating gastric varices: report of a case

et al. 2015

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Wandering spleen is a rare clinical entity, and its chronic torsion of the vascular pedicle result in splenic vein occlusion leading to gastric varices. Here, we present a case of wandering spleen complicating gastric varices in a 40-year-old female. Three-dimensional CT (3D-CT) clearly showed the disruption of the splenic vein at the origin of the vascular pedicle and collateral development of the gastric varices. The patient was electively treated with laparoscopic splenectomy. Difficulty of prediction of the splenic vein recanalization to improve the varices was the reason for the use of splenectomy versus splenopexy. The varices were successfully diminished 3 months after the surgery. After review of cases of complicating gastric varices in the literatures, splenectomy is still a secure way to treat an adult patient with wandering spleen with complicating gastric varices.

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Wandering spleen as a cause of mesenteric and portal varices: A new etiology?

Cited by 14 publications

References 12 publications

Wandering spleen: a unique cause of acute abdomen

Wandering spleen: a unique cause of acute abdomen

Laparoscopic Splenopexy for a Child With Torsion of Wandering Spleen (Clinical Observation)

Laparoscopic splenectomy for a wandering spleen complicating gastric varices: report of a case

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