Wandering spleen presenting as a right hypochondrial mass and intestinal obstruction

Githaiga, Joseph; Adwok, John

doi:10.4314/eamj.v79i8.8834

Cited by 5 publications

(2 citation statements)

References 31 publications

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“…Clinical findings of WS can change from incidental diagnosis to an acute abdomen owing to splenic torsion and acute infarction. 4 Patients may have intermittent abdominal pain due to splenic congestion with intermittent torsion and spontaneous detorsion. 5 Other clinical symptoms include nausea, vomiting, fever, leukocytosis, peritoneal signs, and a palpable mass in the abdomen or the pelvis.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Splenectomy for the Treatment of Wandering Spleen in a Pregnant Woman

Yücel¹,

Kurt²,

Özdemi̇r³

et al. 2012

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Laparoscopic splenectomy became the gold standard recently for the removal of spleen. One of its rare indication is wandering spleen (WS). WS is characterized by incomplete fixation of the spleen. Patients usually have an asymptomatic abdominal mass. When they are symptomatic, abdominal pain with a mobile mass is the major finding. Laboratory data are nonspecific, but the diagnosis can be confirmed by imaging studies; computed tomography, magnetic resonance imaging, and ultrasonography are preferred modalities. It can predispose one to life-threatening complications such as splenic infarction, portal hypertension, pancretitis, and hemorrhage, due to torsion of its vascular pedicle. Herein, we present a female patient, a 24-year-old, 18-week primigravida. She was admitted with an intra-abdominal mass and lower abdominal pain. Ultrasonography revealed a mass behind the uterus. Magnetic resonance imaging was planned, and the spleen was seen at this area. We performed laparoscopic splenectomy for the treatment of a WS, which would be dangerous for pregnancy. The patient was discharged without any postoperative complication on the third day postoperatively. A healthy baby was delivered at term. Minimally invasive procedures should also be the primary choice in the treatment of such pregnant women. This is the first case of laparoscopic splenectomy in a pregnant woman for WS in the English literature.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Splenectomy for the Treatment of Wandering Spleen in a Pregnant Woman

Yücel¹,

Kurt²,

Özdemi̇r³

et al. 2012

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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“…However, diagnosis of a ‘wandering’ spleen is difficult because the patient is typically asymptomatic until splenic torsion occurs. Literature review showed only 51 diagnosed cases of wandering spleen in children from 1900 to 1991 2. Abnormal development of the dorsal mesogastrium has been associated with ‘wandering’ spleen 3 4.…”

Section: Discussionmentioning

confidence: 99%

Splenic torsion: a rare cause of abdominal pain

2018

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Splenic torsion is an exceedingly rare but clinically important disease process that should be recognised promptly by the treating physician. In this condition, there is twisting of the spleen along its vascular pedicle, subsequently leading to abdominal pain in the setting of organ ischaemia. Vascular thrombosis and splenic infarction may ensue. Torsion has been described in cases of a known wandering spleen. Abnormal development of the splenic suspensory ligaments may predispose a patient to a wandering spleen. Treatment of splenic torsion is typically surgical, with goals of preservation of the spleen if possible.We present a case of a young woman who presented with left-sided chest and abdominal pain and was found to have splenic torsion with complete splenic infarction. Surgical intervention was required, and splenectomy was performed. In this case presentation, we outline the multidisciplinary approach needed to care for the patient with this rare condition.

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Acute torsion of a wandering spleen: imaging findings

et al. 2004

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Wandering spleen is a rare entity characterized by incomplete fixation of the spleen by lienorenal and gastrosplenic ligaments. It can migrate to the lower abdomen or pelvis and can be congenital or acquired. We report a case of torsion of a wandering spleen for which there was correlative imaging by ultrasonography, Doppler ultrasonography, computed tomography, magnetic resonance imaging, and angiography. To our knowledge, this is the first reported case in which all these modalities were used in the diagnostic evaluation.

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Wandering spleen presenting as a right hypochondrial mass and intestinal obstruction

Cited by 5 publications

References 31 publications

Laparoscopic Splenectomy for the Treatment of Wandering Spleen in a Pregnant Woman

Laparoscopic Splenectomy for the Treatment of Wandering Spleen in a Pregnant Woman

Splenic torsion: a rare cause of abdominal pain

Acute torsion of a wandering spleen: imaging findings

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