International journal of surgery case reports · 2025
Torsion of a wandering spleen, a rare cause of acute abdomen: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Melkamu Halid, Yohannes Binyam, Asefa Dejene, Debela Aklilu, Binyam Feben, Ali Abdulkerim Osman
Аннотация
INTRODUCTION: "Wandering spleen" a condition in which the spleen's suspensory ligaments are under developed or slack is characterized mainly by splenic hypermobility and loss of fixation. A variety of clinical presentations of this condition has been described; from an incidental finding in imaging surveys to acute, chronic, or intermittent symptoms due to splenic torsion. For these individuals, there are two possible treatment options: splenectomy or splenopexy.
CASE PRESENTATION: Here we present a case of a 16 year old female patient presented with acute abdomen and underwent exploratory laparotomy and splenectomy for gangrenous volvulated wandering spleen.
CLINICAL DISCUSSION: Splenic suspensory ligament abnormalities, frequently referred to as a "wandering" spleen, are the cause of predisposition. However, because the patient usually exhibits no symptoms until splenic torsion occurs, diagnosing of a "wandering" spleen is challenging. Diagnosis is mainly using imaging modalities; color doppler study or compute tomography scan which are done usually once the patient is symptomatic.
CONCLUSION: High index of suspicion and early detection (along with other factors) might allow splenic preservation especially in children.
CASE PRESENTATION: Here we present a case of a 16 year old female patient presented with acute abdomen and underwent exploratory laparotomy and splenectomy for gangrenous volvulated wandering spleen.
CLINICAL DISCUSSION: Splenic suspensory ligament abnormalities, frequently referred to as a "wandering" spleen, are the cause of predisposition. However, because the patient usually exhibits no symptoms until splenic torsion occurs, diagnosing of a "wandering" spleen is challenging. Diagnosis is mainly using imaging modalities; color doppler study or compute tomography scan which are done usually once the patient is symptomatic.
CONCLUSION: High index of suspicion and early detection (along with other factors) might allow splenic preservation especially in children.