Enuresis as a rare symptom of the dystopic spleen in a child

Kapellerová, A; Siman, J; Rašková, Jana; Cingel, Vladimir; Haviar, Dusan

doi:10.1007/s004310051229

Cited by 4 publications

(1 citation statement)

References 4 publications

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“…Association of WS with recurrent acute pancreatitis or urinary symptoms (enuresis and hydronephrosis) or gastric volvulus and duodenal obstruction have also been described. 2,3 The mechanism by which pancreatitis is determined is difficult to demonstrate; it could be secondary to compression from either the splenic vessels or the stomach.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Acute Pancreatitis and Gastric Outlet Obstruction Associated with Wandering Spleen Treated by Laparoscopic Splenopexy

Magno

Nanni

Retrosi

et al. 2011

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Wandering spleen (WS) is an uncommon condition, usually asymptomatic, often recognized as an incidental finding. When symptoms occur, they can vary, although acute abdominal pain is the most common presentation in the pediatric population. In some cases, WS can become a dangerous condition because of the risk of splenic ischemia from persistent pedicle torsion. We describe a case of WS in a 3-year-old boy presenting with vomiting, abdominal swelling, and acute pancreatitis; the diagnosis was obtained by ultrasound and computed tomography. Laparoscopic splenopexy was successfully performed through an extraperitoneal pocket and a Vicryl mesh. To the best of our knowledge, the combination of gastric outlet obstruction and acute pancreatitis has never been reported as presenting symptoms of WS.

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Section: Discussionmentioning

confidence: 99%

An Unusual Case of Acute Pancreatitis and Gastric Outlet Obstruction Associated with Wandering Spleen Treated by Laparoscopic Splenopexy

Magno

Nanni

Retrosi

et al. 2011

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Anatomic variations of the spleen: current state of terminology, classification, and embryological background

Varga

Kachlík

2017

Surg Radiol Anat

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A thorough understanding of the anatomy, physiology, and development of the spleen is essential for determining the pathophysiological mechanisms underpinning splenic diseases and congenital variations. The aim of this review is to briefly summarize current knowledge regarding the normal development of the spleen, and to provide an overview of clinically relevant congenital splenic variations. These include such variations as asplenia, polysplenia, hyposplenia, lobulation of spleen, accessory spleens, accessory splenic nodules, wandering spleen, splenogonadal and splenopancreatic fusion, splenic cysts, and cavernous haemangioma of the spleen. All of these congenital variations are also mentioned in internationally accepted embryological nomenclature, known as the Terminologia Embryologica. Interestingly, most patients who have these diseases are asymptomatic, and are often diagnosed only after an injury or during unrelated medical procedures. Using examples from published case reports, we highlight how an understanding of the embryology of the spleen and the etiology of its disease states would improve clinical practice.

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Surgical Treatment of Patients with Wandering Spleen: Report of Six Cases with a review of the literature

et al. 2007

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Wandering spleen, which is defined as a spleen without peritoneal attachments, is a rare disease and a delay in the clinical and/or radiological diagnosis may lead to splenic torsion, infarction, and necrosis. Owing to the physiologic importance of the spleen, especially in children, and the risk of postsplenectomy sepsis, early diagnosis and splenopexy are recommended. In the present article, we describe the results of our management of this rare problem on six patients, and we review all available literature from 1895 to 2005. Briefly, our technique includes flap creation from parietal peritoneum and settlement of spleen in the fossa splenica. Free edges of this flap are stitched to the stomach and the left end of transverse colon and the beginning of the descending colon. The body of the stomach was stitched to the abdominal wall to prevent gastric volvulus, while the fundus region was fixed to the diaphragm to support the spleen. Finally, an omental patch was stitched to the intact abdominal wall above the flap. In conclusion, the procedure of splenopexy without using mesh is considered to be a safe and curative modality for wandering spleen without imposing any undue risk of infection or foreign material reaction.

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Enuresis as a rare symptom of the dystopic spleen in a child

Cited by 4 publications

References 4 publications

An Unusual Case of Acute Pancreatitis and Gastric Outlet Obstruction Associated with Wandering Spleen Treated by Laparoscopic Splenopexy

An Unusual Case of Acute Pancreatitis and Gastric Outlet Obstruction Associated with Wandering Spleen Treated by Laparoscopic Splenopexy

Anatomic variations of the spleen: current state of terminology, classification, and embryological background

Surgical Treatment of Patients with Wandering Spleen: Report of Six Cases with a review of the literature

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