Torsion of the normally positioned spleen

Shi, Haiyuan; Hamouda, Ehab Shaban Mahmoud

doi:10.1136/bcr-2016-214839

Cited by 2 publications

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References 2 publications

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“…The torsion of a normally located spleen has been reported in isolated case reports 22. In comparison, the lifetime risk of torsion in WS with infarction is 65% without splenopexy 4.…”

Section: Discussionmentioning

confidence: 99%

‘Wandering spleen with acute torsion’ : a rare indication for splenectomy in an adult, complicated by postoperative splanchnic venous thrombosis and intestinal gangrene

et al. 2021

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Wandering spleen (WS) is a hypermobile spleen that, due to the laxity of its ligaments, is prone to torsion. We report a case of a 45-year-old multiparous woman who presented with acute abdominal pain and a tender palpable mass. A contrast-enhanced computed tomography scan of the abdomen showed a WS with torsion. She underwent an emergency splenectomy and was discharged after an uneventful recovery. She was readmitted with splanchnic venous thrombosis and was managed with therapeutic low-molecular-weight heparin (LMWH) and discharged. Twenty days later, she presented with new-onset abdominal pain. She had not complied with LMWH as advised. The thrombosis had progressed, leading to small bowel gangrene, requiring resection and a stoma. Due to frequent metabolic disturbances, an early reversal of stoma was performed. She was lost to follow-up thereafter. This case highlights a rare indication for emergency splenectomy and one of its major postoperative complications.

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