2021
DOI: 10.1186/s12893-021-01289-x
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Torsion of the wandering spleen as an abdominal emergency: a case report

Abstract: 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-yea… Show more

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Cited by 20 publications
(42 citation statements)
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“…Its diagnosis is incidental in asymptomatic patients when a patient needs investigation for any other medical problem. In symptomatic cases, it may diagnose with splenic torsion, infraction, and splenic rupture, which can lead to the acute abdomen [2,3]. Ultrasonography (USG) Doppler, Contrast-Enhanced Tomography (CECT), Magnetic Resonance Imaging (MRI), splenic angiogram, and scintigraphy are used in the diagnosis of WS.…”
Section: Introductionmentioning
confidence: 99%
“…Its diagnosis is incidental in asymptomatic patients when a patient needs investigation for any other medical problem. In symptomatic cases, it may diagnose with splenic torsion, infraction, and splenic rupture, which can lead to the acute abdomen [2,3]. Ultrasonography (USG) Doppler, Contrast-Enhanced Tomography (CECT), Magnetic Resonance Imaging (MRI), splenic angiogram, and scintigraphy are used in the diagnosis of WS.…”
Section: Introductionmentioning
confidence: 99%
“…The main spleen was in normal position with normal perfusion. The accessory spleen was in left flank with no perfusion and rim sign, which was consistent with torsion and infarction [9,10].…”
Section: Clinical Presentations and Imaging Featuresmentioning
confidence: 87%
“…The former aimed to fix the viable spleen at left hypochondrium in a retroperitoneal or intrabdominal pouch with or without a mesh, and the latter aimed to implant viable splenic tissue cubes on the greater omentum [32][33][34][35]. The reported indications of splenectomy for splenic torsion included splenic infarction, splenomegaly, hypersplenism, splenic vessel thrombosis and splenic rupture [9,36]. However, some of the indications no longer stand, since some surgical methods have been proposed to preserve the spleen in complicated situations, and the spleen has a remarkable resilience and regenerative capacity.…”
Section: Discussionmentioning
confidence: 99%
“…A wandering spleen is also a very rare condition, occurring at an incidence rate of less than 0.2% [8] . It is caused by an absence or underdevelopment of one or more of the ligaments that hold the spleen in its typical anatomical position in the left upper quadrant of the abdomen, and so the spleen in these patients can be found in atypical abdominal or even pelvic positions.…”
Section: Discussionmentioning
confidence: 99%