Ectopic spleen presenting as a pelvic mass

Pagoti, R.; Young, EricE.; Gie, C; Moorby, T.

doi:10.1016/j.ijgo.2006.09.036

Cited by 5 publications

(5 citation statements)

References 3 publications

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“…8 Congenital factors, such as dysplasia of the dorsal gastric mesentery, and postnatal factors, such as trauma, splenomegaly, and pregnancy, can lead to relaxation or loss of ligaments that fix the spleen, resulting in heterotopia of the spleen. [2][3][4][5] In our case, we found that the ligaments around the spleen were absent and were considered as the main cause of a heterotopic spleen.…”

Section: Discussionmentioning

confidence: 54%

“…Ectopic spleen is a rare condition, 1 , 2 which is widely believed to occur because of laxity or the absence of normal ligaments (congenital or postnatal), such as the splenogastric, splenorenal, or splenocolic ligaments. 2 – 5 The clinical symptoms of this condition are nonspecific and related to the ectopic site or the presence of complications, such as torsion and compression. In this report, we describe a case of abdominopelvic ectopic spleen with progressive abdominal pain that was caused by exacerbation of torsion in an enlarged spleen.…”

Section: Introductionmentioning

confidence: 99%

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Abdominopelvic ectopic spleen with a comprehensive imaging examination: a case report

Guo

Gong

et al. 2021

J Int Med Res

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Ectopic spleen is a rare clinical malformation in which the spleen is relocated from its normal anatomical position to other parts of the abdomen. We report a rare case of abdominopelvic ectopic spleen caused by splenic ligament deficiency. A patient experienced intermittent pain in the left upper abdomen that was progressively aggravated. This was confirmed by comprehensive imaging examinations and postoperative pathology. We also performed a review of the literature on the current state of the field. Our data may help to improve the diagnosis and treatment of ectopic spleen.

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Section: Discussionmentioning

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Abdominopelvic ectopic spleen with a comprehensive imaging examination: a case report

Guo

Gong

et al. 2021

J Int Med Res

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“…Furthermore, pedicle torsion and detorsion may cause recurrent pain. Acute abdominal syndrome in consequence of splenic pedicle torsion followed by infarction is the main presentation at the emergency department 5,6,13 .…”

Section: Discussionmentioning

confidence: 99%

Wandering spleen as a cause of sinistral portal hypertension

Piltcher-da-Silva¹,

Costa²,

Losekann³

et al. 2021

CBR

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Wandering spleen (WS) is a rare entity characterized by laxity of peritoneal ligaments that hold the spleen stationary. It is most commonly diagnosed in children and young women. Clinical presentation ranges from asymptomatic to acute abdomen. A 19-yearold woman came to the emergency department with history of progressive abdominal pain. She also had previous episodes of hematemesis. A computed tomography scan showed an ectopic spleen with a "whirlpool sign." Laparotomy and splenectomy were performed. WS is characterized by a long vascular pedicle and laxity of peritoneal attachments of the spleen. The etiology is usually congenital. Splenopexy is the main treatment; however, splenectomy is indicated when splenic infarction is present. Despite being rare, this condition may be considered in some cases of abdominal pain. An earlier diagnosis would have allowed us to perform a splenopexy, thus reducing morbidity.

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“…Wandering spleen can present an incidental finding in an asymptomatic patient, as an acute abdomen associated with splenic torsion, or as hypersplenism as in case 1 above [ 6 ]. The most common presentation includes subacute abdominal pain with or without gastrointestinal complaints.…”

Section: Discussionmentioning

confidence: 99%

Wandering Spleen: A Rare Diagnosis with Variable Presentation

DeJohn

Hal

Winner

2008

Radiology Case Reports

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We present two cases of wandering spleen, one in a 47-year-old woman who presented with constipation, and one in a 3-year-old girl who presented with acute abdominal pain. Wandering spleen is a rare clinical condition characterized by ectopic positioning of the spleen due to abnormal peritoneal attachments including the lienorenal and gastrosplenic ligaments. The spleen can “wander” or migrate into various positions within the abdomen or pelvis due to this ligamentous laxity. The clinical presentation of patients with this entity is variable and can range from an incidental finding to an acute abdomen associated with torsion. Various imaging modalities can be utilized for the diagnosis of this condition.

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Ectopic spleen presenting as a pelvic mass

Cited by 5 publications

References 3 publications

Abdominopelvic ectopic spleen with a comprehensive imaging examination: a case report

Abdominopelvic ectopic spleen with a comprehensive imaging examination: a case report

Wandering spleen as a cause of sinistral portal hypertension

Wandering Spleen: A Rare Diagnosis with Variable Presentation

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