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A torted wandering spleen: a case report

INTRODUCTION: A torted wandering spleen is a rare clinical occurrence with fewer than 500 cases reported and an incidence of less than 0.2%. It is brought about through laxity of the gastrosplenic and splenorenal ligaments; however, the precise aetiology remains unknown. It can prove to be a diagnos...

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Detalles Bibliográficos
Autores principales: Sharma, Aman, Salerno, Gisella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031896/
https://www.ncbi.nlm.nih.gov/pubmed/24886115
http://dx.doi.org/10.1186/1752-1947-8-133
Descripción
Sumario:INTRODUCTION: A torted wandering spleen is a rare clinical occurrence with fewer than 500 cases reported and an incidence of less than 0.2%. It is brought about through laxity of the gastrosplenic and splenorenal ligaments; however, the precise aetiology remains unknown. It can prove to be a diagnostic challenge with high mortality if misdiagnosed. CASE PRESENTATION: We present the case of a 27-year-old woman of Arabic ethnicity, who complained of a short history of severe abdominal pain with the background of recurrent abdominal pain and vomiting. An abdominal computerized tomography scan revealed a torted wandering spleen. This required a splenectomy due to splenic infarction. CONCLUSION: This report highlights the investigations and management necessary for a patient who presents with an ischaemic torted wandering spleen.