The wandering spleen: CT findings and possible pitfalls in diagnosis

Ely, Anna Ben; Zissin, Rivka; Copel, Laurian; Vasserman, Margarita; Hertz, Marjorie; Gottlieb, Paul; Gayer, Gabriela

doi:10.1016/j.crad.2006.06.007

Cited by 78 publications

(32 citation statements)

References 9 publications

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“…US imaging with duplex scanning can be used as an initial mode of imaging which can show the position of the wandering spleen with concomitant replacement of bowel in the left upper quadrant 7 . CT contrast imaging is the preferred mode of investigation, with the contrast helping to elucidate the viability of the spleen 6,7 . The most characteristic finding is the absence of the spleen in its normal position and an ectopic mass found somewhere else in the abdomen or pelvis 6 .…”

Section: Discussionmentioning

confidence: 99%

“…CT contrast imaging is the preferred mode of investigation, with the contrast helping to elucidate the viability of the spleen 6,7 . The most characteristic finding is the absence of the spleen in its normal position and an ectopic mass found somewhere else in the abdomen or pelvis 6 . The whirl sign of the splenic pedicle and surrounding fat is specific for splenic torsion as was the case with our patient 5,6 .…”

Section: Discussionmentioning

confidence: 99%

“…The most characteristic finding is the absence of the spleen in its normal position and an ectopic mass found somewhere else in the abdomen or pelvis 6 . The whirl sign of the splenic pedicle and surrounding fat is specific for splenic torsion as was the case with our patient 5,6 . Splenopexy is the treatment of choice if the spleen is not infarcted but a splenectomy proceeding detorsion is necessary if there is any sign of infarction 3, 11-13 .…”

Section: Discussionmentioning

confidence: 99%

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Wandering Spleen with Splenic Vein Thrombosis: A Case Report

Ismael¹

2017

East. Cent. Afr. J. Surg.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Wandering Spleen with Splenic Vein Thrombosis: A Case Report

Ismael¹

2017

East. Cent. Afr. J. Surg.

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“…[4] A wandering spleen can be acquired form, in which hormonal effects of pregnancy and abdominal wall laxity are proposed as determining factors. [5][6] A wandering spleen usually presents between the ages of 20 and 40 years, being more common in women. Children make up one-third of cases with an equal preponderance in boys and girls under 10 years.…”

Section: Discussionmentioning

confidence: 99%

Splenic Volvulus With Laceration After Trivial Trauma in a Case of Wandering Spleen: A Rare Case Report

Nanekar¹,

Wasadikar²,

Kaginalkar³

et al. 2016

jemds

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BACKGROUNDVolvulus of wandering spleen is a rare clinical occurrence with fewer than 500 cases reported and an incidence of less than 0.2%. We present a case of a 27-year-old man, who complained of a short history of severe abdominal pain with the background of recurrent abdominal pain. Ultrasound revealed wandering spleen with splenic vein thrombosis. An abdominal contrast enhanced computerized tomography scan revealed a torted wandering spleen with splenic vein thrombosis with infarction. This required a splenectomy due to splenic infarction. This report highlights the investigations including USG and CECT necessary for a patient who presents with an ischaemic torted wandering spleen.

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“…CT contrast imaging is the preferred mode of investigation, with the contrast helping to elucidate the viability of the spleen [6,7]. The most characteristic finding is the absence of the spleen in its normal position and an ectopic mass found somewhere else in the abdomen or pelvis [6].…”

Section: Discussionmentioning

confidence: 99%

A torted wandering spleen: a case report

Sharma

Salerno

2014

J Med Case Reports

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IntroductionA torted wandering spleen is a rare clinical occurrence with fewer than 500 cases reported and an incidence of less than 0.2%. It is brought about through laxity of the gastrosplenic and splenorenal ligaments; however, the precise aetiology remains unknown. It can prove to be a diagnostic challenge with high mortality if misdiagnosed.Case presentationWe present the case of a 27-year-old woman of Arabic ethnicity, who complained of a short history of severe abdominal pain with the background of recurrent abdominal pain and vomiting. An abdominal computerized tomography scan revealed a torted wandering spleen. This required a splenectomy due to splenic infarction.ConclusionThis report highlights the investigations and management necessary for a patient who presents with an ischaemic torted wandering spleen.

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The wandering spleen: CT findings and possible pitfalls in diagnosis

Cited by 78 publications

References 9 publications

Wandering Spleen with Splenic Vein Thrombosis: A Case Report

Wandering Spleen with Splenic Vein Thrombosis: A Case Report

Splenic Volvulus With Laceration After Trivial Trauma in a Case of Wandering Spleen: A Rare Case Report

A torted wandering spleen: a case report

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