A torted wandering spleen: a case report

Sharma, Aman; Salerno, Gisella

doi:10.1186/1752-1947-8-133

Cited by 25 publications

(32 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Wandering spleen (WS), is a rare clinical condition, with only about 500 cases reported worldwide and an incidence rate of 0.2% [ 1 , 2 ]. One of the first documented descriptions of WS came from Dr Josef Dietl, a Polish clinician, who not only documented three cases between 1854 and 1863 but also described the laxity of splenic ligaments as the likely etiology [ 2 ]. Among the various hypotheses proposed, laxity of the spleen’s supporting ligaments is the most agreed upon.…”

Section: Introductionmentioning

confidence: 99%

Wandering spleen: a surgical enigma

Puranik

Mehra

Chauhan

et al. 2015

Gastroenterol. Rep.

View full text Add to dashboard Cite

Wandering spleen, also referred to as ‘ptotic spleen’, is a rare clinical condition characterized by splenic migration form its normal left hypochondrial position to any other abdominal or pelvic position. Among the multifactorial etiologies proposed, laxity of the spleen’s primary supporting ligaments is the most agreed-upon hypothesis. We present one rare case of wandering spleen in an 11-year-old girl who presented with recurrent abdominal pain with no localizing features. Her abdominal examination revealed an intra-abdominal left iliac fossa lump with restricted mobility, which was confirmed as a wandering spleen by abdominal sonography and contrast-enhanced computed tomography. Intraoperatively, an infarcted spleen was encountered with tortuous, elongated, torsional splenic pedicle and a single dense adhesive band with descending colon. Splenectomy was offered to the patient. Post-operatively, the patient is healthy and symptom free at one-year follow-up. The rare clinical diagnosis of this condition, particularly in the paediatric age-group, makes it an enigma for the surgical world.

show abstract

Section: Introductionmentioning

confidence: 99%

Wandering spleen: a surgical enigma

Puranik

Mehra

Chauhan

et al. 2015

Gastroenterol. Rep.

View full text Add to dashboard Cite

show abstract

“…It most commonly occurs in children [6] [7] but rarer in adults with a slight female predominance [4]. Abnormal mobility of the spleen is secondary to either hyperlaxity or congenital or acquired agenesis of the spleen suspense ligaments [2]- [8].…”

Section: Discussionmentioning

confidence: 99%

“…Wandering spleen is a rare condition with an estimated 0.2% [4] [6] prevalence. It most commonly occurs in children [6] [7] but rarer in adults with a slight female predominance [4].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Acute Volvulus of a Wandering Spleen on Pregnancy: A Case Report

Mamadou¹,

Bernadin²,

Ibrahim³

et al. 2018

OJOG

View full text Add to dashboard Cite

Wandering or ectopic spleen is a rare congenital or acquired abnormality due to a defect in the anatomical fixity of the spleen with the surrounding organs. Pedicle twisting is its most common complication. It is an anatomo-clinical entity most often described in children, but rare in adults. It is a serious condition, especially when it occurs on a pregnancy putting at stake maternal and fetal prognosis. Authors report a case of acute volvulus of wandering spleen in a 26-year-old patient admitted for abdominal pain on an active pregnancy of 15 weeks of amenorrhea. Abdominal ultrasound scan helped to set the diagnosis. At laparotomy, the enlarged spleen was in an ectopic position, in the iliac fossa with a pedicle abnormally twisted in several spiral turns. Splenectomy was performed. The post-operative period was simple and the pregnancy progressed well to term.

show abstract

“…This is known as a wandering spleen. A wandering spleen is an uncommon clinical occurrence with less than 500 cases reported [2]. A wandering spleen may be either congenital or acquired.…”

Section: Introductionmentioning

confidence: 99%