Wandering spleen in the pelvic region in an adult man with symptoms of acute abdomen

Makhlouf, Nahed A; Morsy, Khairy Hammam; Ammar, Samir A; Mohammed, Radwan A.; Yousef, Hazem A.; Mostafa, Mohammed Mahmoud

doi:10.1016/j.ajg.2016.03.003

Cited by 6 publications

(10 citation statements)

References 12 publications

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“…Therefore, open splenectomy was adopted. Recently, splenopexy has been recommended by some physicians as a supplementary treatment for ectopic spleen, 9 , 12 , 13 which needs to be combined with clinical comprehensive judgment. Splenopexy can be selected for asymptomatic or young patients.…”

Section: Discussionmentioning

confidence: 99%

Abdominopelvic ectopic spleen with a comprehensive imaging examination: a case report

Guo

Gong

et al. 2021

J Int Med Res

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Ectopic spleen is a rare clinical malformation in which the spleen is relocated from its normal anatomical position to other parts of the abdomen. We report a rare case of abdominopelvic ectopic spleen caused by splenic ligament deficiency. A patient experienced intermittent pain in the left upper abdomen that was progressively aggravated. This was confirmed by comprehensive imaging examinations and postoperative pathology. We also performed a review of the literature on the current state of the field. Our data may help to improve the diagnosis and treatment of ectopic spleen.

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Section: Discussionmentioning

confidence: 99%

Abdominopelvic ectopic spleen with a comprehensive imaging examination: a case report

Guo

Gong

et al. 2021

J Int Med Res

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“…Thus, the report of low back pain with irradiation to testicles is another peculiarity of the present case, since symptoms, as a rule, are uncommon. Due to the clinical presentation, renal lithiasis was suspected, analgesic drugs were prescribed, and an abdominal ultrasound was requested for diagnostic confirmation [18,22]. USG did not show signs of nephrolithiasis but found a solid pelvic nodule with unspecific echographic characteristics.…”

Section: Discussionmentioning

confidence: 99%

“…Only nuclear medicine imaging can confirm the diagnosis with scintigraphy performed with 99mTC-labelled colloids or TC-99 m heat-damaged red blood cells because the colloid labeled with TC 99 m is taken from the reticulumendothelium and makes visible the spleen, liver and bone marrow; however, it is necessary to suspect the diagnosis of accessory spleen for this procedure [22]. Therefore, often only surgical excision can safely confirm the diagnosis [23,25].…”

Section: Discussionmentioning

confidence: 99%

Giant accessory spleen and rotating ectopic kidney: A rare association

Barbosa¹,

Medeiros²,

Gomes³

et al. 2020

World J. Adv. Res. Rev.

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The accessory spleen is a congenital disability characterized by a separated ectopic splenic parenchyma. Wandering spleen (WS) is a rare condition where the spleen, free from its ligaments, is allowed to move inside the abdomen, predisposing the patient to life-threatening complications due to torsion of the vascular pedicle; splenic infarction, portal hypertension, bleeding and acute abdomen may occur. WS or Accessory Spleen (AS) is rarely suspected at presentation since symptoms are usually not specific, and definitive diagnosis is often reached only by imaging technologies such as color flow ultrasonography and angio-spiral computed tomography. The size is rarely more than 4cm. Patients rarely present symptoms, and the diagnosis can be accidental when faced with ectopia in radiological or intraoperative investigations. It is an essential clinical entity since abdomen-pelvic tumors must always be considered as differential diagnoses, requiring detailed evaluation. Surgical treatment is indicated for symptomatic patients or those with complications. On the other hand, the ectopic kidney with rotation abnormality also consists of a singular entity. Congenital anomalies of the upper urinary tract occur in 3%-4% of those born, most of which are followed up clinically. The present study discusses a case of symptomatic intrapelvic WS associated with an ectopic kidney with rotation anomaly, a rare union, and still with scarce reports in the literature. This study aimed to present the case of a patient with an isolated oversized accessory spleen and a review of the literature.

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“…An abnormal fusion or foregut rotation of the dorsal mesogastrium during 5th and 6th week of development, results in an unusually long splenic pedicle and consequently in a wandering spleen [ [18] , [19] , [20] , [21] , [22] ].…”

Section: Discussionmentioning

confidence: 99%

“…Recurrent bouts and abdominal pain are due to short lasting ischemia caused by intermittent torsion-detorsion or resulted from direct mechanical irritation of surrounding organs [ [15] , [16] ]. The treatment of wandering spleen has changed over time [ [20] , [21] ] Studies of spleen physiology suggested that spleen should be preserved [ 25 ]. For this reason most physicians recommended splenopexy for treatment of wandering spleen especially in asymptomatic patients [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic splenectomy for a simultaneous wandering spleen along with an ectopic accessory spleen. Case report and review of the literature

Rizzuto

Saverio²

2018

International Journal of Surgery Case Reports

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Wandering spleen in the pelvic region in an adult man with symptoms of acute abdomen

Cited by 6 publications

References 12 publications

Abdominopelvic ectopic spleen with a comprehensive imaging examination: a case report

Abdominopelvic ectopic spleen with a comprehensive imaging examination: a case report

Giant accessory spleen and rotating ectopic kidney: A rare association

Laparoscopic splenectomy for a simultaneous wandering spleen along with an ectopic accessory spleen. Case report and review of the literature

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