Splenoptosis in young female, case report

El-Helou, Etienne; Alimoradi, Mersad; Sabra, Hassan; Naccour, Jessica; Zaarour, Mariana; Chebli, Fares A.; Wakim, Raja; Haddad, Marwan

doi:10.1016/j.ijscr.2020.11.001

Cited by 2 publications

(1 citation statement)

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“…Symptomatic patients may have different clinical signs and symptoms as reported in the literature, e.g. acute, intermittent, or chronic pain because of torsion and detorsion of the splenic pedicle, vomiting, abdominal distention, constipation, palpable, movable mass in the abdomen or pelvic same like in our case or other signs and symptoms of an acute abdomen may present [ 2 – 4 , 13 – 15 ]. The symptoms may be related to the kind of complication patients present with; for example, if a patient presents with a wandering spleen leading to intestinal obstruction, the patient may have pain, abdominal distention, vomiting, and constipation.…”

Section: Discussionmentioning

confidence: 90%

Torsion of the wandering spleen as an abdominal emergency: a case report

Masroor

Sarwari

2021

BMC Surg

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Background Wandering spleen is a rare clinical entity with a less than 0.2% reporting incidence rate. In this case, the spleen is present abnormally in the abdominal or pelvic cavity instead of its normal anatomical location. The aetiology is either congenital or acquired. The condition is caused by the absence or maldevelopment of the spleen's suspensory ligaments, which holds the spleen static in the left hypochondrium. Case presentation A 27-year-old female patient presented to the emergency department with complaints of abdominal pain, fever, nausea, vomiting, and constipation for three days. A palpable movable mass was found during the physical examination, and torsion of the wandering spleen’s pedicle was confirmed by CT scan. Open splenectomy was performed, and the patient was recovered uneventfully. Conclusion Even though ectopic spleen is a rare disease, clinicians should be aware of its incidence. Early diagnosis in the case of an acute abdomen is vital for the preservation of the spleen. Patients presented with acute abdomen and absence of splenic shadow under left hemidiaphragm should be suspected, and further radiological investigation will confirm the diagnosis. Surgery is the gold standard for wandering spleen with either splenopexy or splenectomy, depending on the spleen's condition during surgery.

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