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Torsion of wandering spleen treated by laparoscopic splenopexy: A case report

INTRODUCTION: A wandering spleen is a mobile spleen as a result of deficient splenic peritoneal ligaments and elongation of its vascular pedicle. It is a rare entity affecting mainly young adults commonly females and children, presenting as an asymptomatic abdominal mass or abdominal discomfort due...

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Autores principales: Awan, Mariyem, Gallego, Jose Luis, Al Hamadi, Annett, Vinod, Vijay Chander
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6717052/
https://www.ncbi.nlm.nih.gov/pubmed/31445501
http://dx.doi.org/10.1016/j.ijscr.2019.06.040
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author Awan, Mariyem
Gallego, Jose Luis
Al Hamadi, Annett
Vinod, Vijay Chander
author_facet Awan, Mariyem
Gallego, Jose Luis
Al Hamadi, Annett
Vinod, Vijay Chander
author_sort Awan, Mariyem
collection PubMed
description INTRODUCTION: A wandering spleen is a mobile spleen as a result of deficient splenic peritoneal ligaments and elongation of its vascular pedicle. It is a rare entity affecting mainly young adults commonly females and children, presenting as an asymptomatic abdominal mass or abdominal discomfort due to torsion and de-torsion of the pedicle. PRESENTATION OF CASE: We report a 35-year-old female presented with intermittent colicky abdominal pain that worsened in severity over three weeks. Diagnostic laparoscopy showed torsion of spleen without infarction. Detorsion and Splenopexy in an extra-peritoneal pouch was performed. Post operatively, the patient recovered well and was healthy at two months follow up. DISCUSSION: A wandering spleen is either congenital or acquired. The condition results in a long vascular pedicle, which predispose to the torsion resulting in a partial or complete infarct of the spleen. Laparoscopic approach is the preferred technique and de-torsion of the splenic pedicle and splenopexy is a reasonable surgical option, when there is no evidence of infarction of the spleen. CONCLUSION: The diagnosis of wandering spleen is very rare and extremely difficult to establish and is clinically nonspecific. An early diagnosis and surgical care are required for preserving the spleen. Additional imaging examinations can help establish a diagnosis.
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spelling pubmed-67170522019-09-04 Torsion of wandering spleen treated by laparoscopic splenopexy: A case report Awan, Mariyem Gallego, Jose Luis Al Hamadi, Annett Vinod, Vijay Chander Int J Surg Case Rep Article INTRODUCTION: A wandering spleen is a mobile spleen as a result of deficient splenic peritoneal ligaments and elongation of its vascular pedicle. It is a rare entity affecting mainly young adults commonly females and children, presenting as an asymptomatic abdominal mass or abdominal discomfort due to torsion and de-torsion of the pedicle. PRESENTATION OF CASE: We report a 35-year-old female presented with intermittent colicky abdominal pain that worsened in severity over three weeks. Diagnostic laparoscopy showed torsion of spleen without infarction. Detorsion and Splenopexy in an extra-peritoneal pouch was performed. Post operatively, the patient recovered well and was healthy at two months follow up. DISCUSSION: A wandering spleen is either congenital or acquired. The condition results in a long vascular pedicle, which predispose to the torsion resulting in a partial or complete infarct of the spleen. Laparoscopic approach is the preferred technique and de-torsion of the splenic pedicle and splenopexy is a reasonable surgical option, when there is no evidence of infarction of the spleen. CONCLUSION: The diagnosis of wandering spleen is very rare and extremely difficult to establish and is clinically nonspecific. An early diagnosis and surgical care are required for preserving the spleen. Additional imaging examinations can help establish a diagnosis. Elsevier 2019-06-26 /pmc/articles/PMC6717052/ /pubmed/31445501 http://dx.doi.org/10.1016/j.ijscr.2019.06.040 Text en © 2019 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Awan, Mariyem
Gallego, Jose Luis
Al Hamadi, Annett
Vinod, Vijay Chander
Torsion of wandering spleen treated by laparoscopic splenopexy: A case report
title Torsion of wandering spleen treated by laparoscopic splenopexy: A case report
title_full Torsion of wandering spleen treated by laparoscopic splenopexy: A case report
title_fullStr Torsion of wandering spleen treated by laparoscopic splenopexy: A case report
title_full_unstemmed Torsion of wandering spleen treated by laparoscopic splenopexy: A case report
title_short Torsion of wandering spleen treated by laparoscopic splenopexy: A case report
title_sort torsion of wandering spleen treated by laparoscopic splenopexy: a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6717052/
https://www.ncbi.nlm.nih.gov/pubmed/31445501
http://dx.doi.org/10.1016/j.ijscr.2019.06.040
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