Wandering spleen torsion in a patient with polysplenia syndrome

Draghmeh, Muath; Taher, Ameed; Atatri, Yazid; Al-rub, Fadi Abu; Muhaisen, Walid; Khanfar, Obada

doi:10.1016/j.radcr.2022.04.009

Cited by 1 publication

(1 citation statement)

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“…The etiology of this disorder may be congenital or acquired. The congenital form is due to the faulty development of the dorsal mesogastrium during embryonic life, which results in the absence or underdevelopment of one or more of the ligaments that keep the spleen in its normal anatomical position in the left upper quadrant of the abdomen [ 8 , 9 ]. In contrast, the acquired form is more common in women who have had multiple pregnancies, as the ligaments that secure the spleen tend to become lax [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Wandering Spleen Torsion: A Diagnostic Challenge

Eleiwi,

Atatri,

Younis

et al. 2024

Cureus

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Wandering spleen, or hypermobile spleen, arises from the elongation or maldevelopment of the spleen's suspensory ligaments. This condition is a rare clinical entity, primarily affecting children, with a higher prevalence among adult females in the active reproductive age group. Manifestations may include an asymptomatic abdominal mass or intermittent abdominal discomfort due to the torsion and subsequent spontaneous detorsion of the spleen. This case report details the presentation of a 14-year-old female initially misdiagnosed as having gastroenteritis who later experienced acute abdomen. Subsequent ultrasonography and computed tomography scan revealed splenic torsion, confirmed during exploratory laparotomy, which demonstrated an infarcted spleen. The definitive therapeutic intervention was a total splenectomy. This clinical entity should be taken into account in the differential diagnosis of acute abdominal pain in order to aid in early diagnosis and management. This could allow us to avoid splenectomy whenever possible and instead do splenopexy, especially in pediatric cases, as the spleen plays a crucial role in the reticuloendothelial system.

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Section: Discussionmentioning

confidence: 99%