Splenic volvulus of a wandering spleen

Schaeffer, William J.; Mahmood, Sidra; Vermillion, Sarah A.; Sweet, Raphael; Haas, Nathan L.

doi:10.1016/j.ajem.2020.08.048

Cited by 6 publications

(5 citation statements)

References 8 publications

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“…Wandering spleen is a condition of congenital or acquired laxity of peritoneal ligaments ( 11 ), causing an abnormal spleen position in the abdomen and potential volvulus of the elongated vessels ( 12 ) associated with a torsion of the pancreatic tail ( 13 ). This is usually asymptomatic and often is an incidental imaging finding ( 14 ).…”

Section: Discussionmentioning

confidence: 99%

Case Report: Gut and spleen anomalies associated with DYRK1A syndrome

et al. 2023

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DYRK1A syndrome has been extensively studied primarily with regard to neurologic and other phenotypic features such as skeleton and craniofacial alterations. In the present paper, we aim to highlight unusual anomalies associated with a DYRK1A mutation: a 17-year-old female patient with language and cognitive delay, microcephaly, and an autistic disorder, who was operated upon for spleen torsion with anomalous gut fixation.

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Section: Discussionmentioning

confidence: 99%

Case Report: Gut and spleen anomalies associated with DYRK1A syndrome

et al. 2023

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“…In dogs, the condition is uniformly referred to as splenic torsion 9,10 . But in humans, it has been called either splenic volvulus 8,11,12 or splenic torsion 4–6 …”

Section: Discussionmentioning

confidence: 99%

“…In dogs, the condition is uniformly referred to as splenic torsion. 9,10 But in humans, it has been called either splenic volvulus 8,11,12 or splenic torsion. [4][5][6] In dogs, isolated splenic torsion-that is, splenic torsion not secondary to gastric volvulus or splenic disease-is rare.…”

Section: Learning Points/take-home Messagesmentioning

confidence: 99%

Wandering, twisted spleen in a deerhound

Dillberger¹,

Stephenson

2023

Vet Record Case Reports

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A 14‐month‐old, entire, deerhound bitch experienced episodes of abdominal discomfort. During some episodes, the abnormally shaped spleen could be palpated in the dorsocaudal abdomen, rather than in its normal cranioventral location. Exploratory laparotomy revealed an enlarged spleen that was twisted on its long axis but not on its suspensory ligaments. The spleen was excised, and the dog made an uneventful recovery. To the best of our knowledge, this is the first report of a so‐called wandering spleen in a dog, a condition that has been described in humans, albeit rarely. This also is the first report of a twisted spleen in a dog. Veterinary practitioners should include these two possibilities (wandering spleen and twisted spleen) in their list of differential diagnoses when presented with a dog experiencing abdominal discomfort or with an abdominal mass.

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“…Patients after total splenectomy have increased risks of infections (especially overwhelming postsplenectomy infection), arterial and venous thrombotic disease, pulmonary hypertension, and cancer [30]. Therefore, spleen preserving surgery should be seriously considered in patients with splenic torsion, especially in children [31]. The spleen preserving surgery generally included splenopexy and splenic autotransplantation.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and treatment of splenic torsion in children: preoperative thrombocytosis predicts splenic infarction

Wang

Peng

et al. 2022

BMC Pediatr

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Background Pediatric splenic torsion is a rare entity, and the most common cause is wandering spleen. This study aimed to summarize our clinical experience in the diagnosis and surgical treatment pediatric patients with splenic torsion, and to use preoperative thrombocytosis as a preoperative predictive factor for splenic infarction. Methods From January 1st, 2016 to December 31st, 2021, 6 children diagnosed as splenic torsion were included. All patients were surgically treated and followed up. The clinical data was collected including clinical presentations, laboratory tests, imaging results, surgical procedures, and prognosis. Clinical experience of diagnosis and surgical treatment were summarized. Results There were 4 females and 2 males, with median age at surgery 102.6 (range 9.4–170.7) months. Abdominal pain and abdominal mass were the most common presentations. The diagnosis of splenic torsion depended on imaging studies, and adjacent organ involvement (gastric and pancreas torsion) was observed on contrast CT in one patient. Five patients were diagnosed as torsion of wandering spleen, and one was torsion of wandering accessory spleen. Emergent laparoscopic or open splenectomy was performed in all patients. Pathology revealed total splenic infarction in 4 patients, partial infarction in 1 patient, and viable spleen with congestion and hemorrhage in 1 patient. Preoperative platelet counts were elevated in all 4 patients with splenic infarction, but normal in the rest 2 with viable spleen. Postoperative transient portal vein branch thromboembolism occurred in one patient. Conclusions Imaging modalities are crucial for the diagnosis of pediatric splenic torsion and adjacent organ involvement. Preoperative thrombocytosis may predict splenic infarction. Spleen preserving surgery should be seriously considered over splenectomy in patients with a viable spleen.

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Splenic volvulus of a wandering spleen

Cited by 6 publications

References 8 publications

Case Report: Gut and spleen anomalies associated with DYRK1A syndrome

Case Report: Gut and spleen anomalies associated with DYRK1A syndrome

Wandering, twisted spleen in a deerhound

Diagnosis and treatment of splenic torsion in children: preoperative thrombocytosis predicts splenic infarction

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