Frontiers in medicine · 2025
Splenectomy for wandering spleen with pedicle torsion in a 17-year-old: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Liu Guangchao, Shen Yifei, Jiao Cheng, Zhang Yao, Zhang Xin, Meng Qiujing, Liu Wei
Аннотация
BACKGROUND: Wandering spleen is a rare disorder characterized by splenic displacement into the abdominal or pelvic cavity, predisposing to torsion and infarction. Congenital factors (long pedicle, lax ligaments) or acquired conditions (splenomegaly) are the usual causes.
CASE PRESENTATION: A 17-year-old female presented with 5 days of escalating abdominal pain. Imaging (contrast-enhanced CT and ultrasound) revealed a pelvic spleen with 360° pedicle torsion and partial infarction. After multidisciplinary review, emergency laparotomy was performed and splenectomy was undertaken. Post-operatively, low-molecular-weight heparin followed by aspirin was prescribed to mitigate post-splenectomy thrombocytosis-related thrombosis. The patient was discharged on day 18 without complications and remained well at follow-up.
CONCLUSION: Early recognition, prompt splenectomy, and individualized anticoagulation guided by hematology input are essential to prevent complications in acute splenic torsion.
CASE PRESENTATION: A 17-year-old female presented with 5 days of escalating abdominal pain. Imaging (contrast-enhanced CT and ultrasound) revealed a pelvic spleen with 360° pedicle torsion and partial infarction. After multidisciplinary review, emergency laparotomy was performed and splenectomy was undertaken. Post-operatively, low-molecular-weight heparin followed by aspirin was prescribed to mitigate post-splenectomy thrombocytosis-related thrombosis. The patient was discharged on day 18 without complications and remained well at follow-up.
CONCLUSION: Early recognition, prompt splenectomy, and individualized anticoagulation guided by hematology input are essential to prevent complications in acute splenic torsion.