Splenic torsion in a wandering spleen, presenting as an acute abdominal mass

Greig, J. D.; Sweet, Elizabeth; Drainer, Ian K.

doi:10.1016/0022-3468(94)90096-5

Cited by 19 publications

(11 citation statements)

References 5 publications

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“…Although its true incidence is not yet known, the incidence is higher in women aged 20-40 (10,11). Both of our cases were women, a patient was 25 years old in agreement with the literature while the other patient was 15 years old.…”

Section: Discussionsupporting

confidence: 90%

Torsion of wandering spleen as a rare reason for acute abdomen: A presentation of two cases

Yılmaz¹,

Bayrak²,

Daştan³

et al. 2014

UCD

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Torsion of wandering spleen as a rare reason for acute abdomen: A presentation of two cases Wandering spleen is a rare disease that is clinically characterized by torsion of the pedicle. The congenital absence of ligaments anchoring the spleen to the left sub-phrenic area or an acquired looseness is the major reason behind its mobilization. Unless splenic torsion occurs and acute abdominal clinical symptomatology develops, clinical diagnosis is highly challenging due to lack of symptoms. This study aims to share the information acquired from two encountered cases accompanied by the relevant literature.

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Section: Discussionsupporting

confidence: 90%

Torsion of wandering spleen as a rare reason for acute abdomen: A presentation of two cases

Yılmaz¹,

Bayrak²,

Daştan³

et al. 2014

UCD

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“…Moreover, hypertrophy and lateral extension of the liver's left lobe, as noted in cases 1 and 2, might be confused with a normal spleen on ultrasonographic evaluation, whereas altered anatomic relationships in the left upper abdomen with the spleen retaining its subdiaphragmatic location, as in case 3, might mislead the ultrasonographic diagnosis. These problems are overcome using CT which typically depicts a mass representing the wandering spleen at the mid-abdomen [1,13] or the pelvis [1,9,10,13] and rarely at the right iliac fossa [14]. The spleen's comma-shaped configuration is usually preserved unless torsion is complicated by other conditions: trauma and subsequent hematoma or contusion in an ectopic spleen may result in altered shape and size or abnormal contrast enhancement, as noted in case 1 of the study.…”

Section: Discussionmentioning

confidence: 99%

Acute abdomen due to torsion of wandering spleen: CT diagnosis

et al. 1998

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Two adults and a child with acute abdomen and surgically confirmed torsion of wandering spleen are presented. Computed tomography provided a spectrum of findings including an ovoid or comma-shaped abdominal mass, hypertrophy of the liver's left lobe, a whirled appearance of hyperdense, nonenhancing splenic vessels, and an enlarged spleen, exhibiting minimal or no enhancement. Computed tomography also indicated the point of torsion and the viability of splenic parenchyma.

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“…[1][2][3][4][5][6] Five of the seven patients (71%) in our series experienced complications. The most common reported complication is splenic torsion and infarction, [1][2][3][4][5][6] which was seen in four of our patients. In three of these patients, the infarction likely appeared during a recurrent episode, and splenectomy could have been prevented had the diagnosis been made earlier.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5] It may manifest clinically as an abdominal mass or abdominal pain. [1][2][3][4][5] Prompt diagnosis is necessary to prevent complications such as splenic torsion, splenic infarction, 6 gastric volvulus, 7,8 and acute pancreatitis. 9,10 We report our experience with sonographic diagnosis of wandering spleen in seven children.…”

mentioning

confidence: 99%