Torsion of the Wandering Spleen

Fujiwara, Toru; Takehara, Yasuo; Isoda, Haruo; Ichijo, K; Tooyama, N; Kodaira, Nami; Kitanaka, H; Asai, Takashi; Kawaguchi, Katsunori

doi:10.1097/00004728-199501000-00016

Cited by 47 publications

(4 citation statements)

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“…Clinically, the diagnosis can be suspected when a firm, movable abdominal mass is felt with the typically “notched border”, however splenic engorgement can hide the splenic notch [ 10 , 11 ]. In this case acute abdomen, a nonspecific mass in the left hypochondrium raised a suspicious of splenic torsion.…”

Section: Discussionmentioning

confidence: 99%

Splenic torsion, a challenging diagnosis in an adult presenting with acute abdomen

Subunca,

Sriluxayini,

Priyatharsan

et al. 2023

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Splenic torsion, a challenging diagnosis in an adult presenting with acute abdomen

Subunca,

Sriluxayini,

Priyatharsan

et al. 2023

International Journal of Surgery Case Reports

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“…Under the age of 10 the sex distribution is even, whereas over 10 years of age, females out number males by seven to one. A study involving 66 children under 10 years showed that 50% of wandering spleens were lost through acute ischaemia [7,9,11]. …”

Section: Discussionmentioning

confidence: 99%

Acute abdomen due to torsion of the wandering spleen in a patient with Marfan Syndrome

et al. 2013

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Wandering spleen is a very rare defect characterized by the absence or weakness of one or more of the ligaments that hold the spleen in its normal position in the upper left abdomen. Patient symptomatology is variable and ranges from mere feeling of an abdominal lump to sudden abdominal pain due to infarction. Patients may have subacute to chronic abdominal or gastrointestinal complaints. Because of nonspecific symptoms, clinical diagnosis can be difficult; hence, imaging plays an important role. A major complication is splenic torsion, which is the cause of acute abdomen. We present a case of acute abdominal pain due to torsion of wandering spleen in a patient with Marfan Syndrome, valvular heart disease, and vertebral anomalies. Preoperative diagnosis was made on the basis of ultrasonography and computed tomography, which was later confirmed on surgery, and treated successfully.

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“…Plain abdominal films, barium enema studies, and scintigraphy are often nonspecific. 6,7 Angiography can reveal ectopic spleen location and splenic torsion, but is invasive and not essential for diagnostic purposes. 7 Ultrasound plays an important role and is the selective diagnostic method.…”

Section: Discussionmentioning

confidence: 99%

“…6,7 Angiography can reveal ectopic spleen location and splenic torsion, but is invasive and not essential for diagnostic purposes. 7 Ultrasound plays an important role and is the selective diagnostic method. The sonographic appearance of the ectopic spleen is the presence of a homogenous hypoechoic mass and empty splenic area, while CT shows a homogenous, unenhanced mass.…”

Section: Discussionmentioning

confidence: 99%

Acute Torsion of a Wandering Spleen Causing Acute Abdomen

Yakan¹,

Telciler²,

Denecli³

2011

Hong Kong Journal of Emergency Medicine

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Wandering spleen is a rare clinical entity characterised by splenic hypermobility resulting from laxity or maldevelopment of the suspensary gastrosplenic, splenorenal, and phrenicocolic ligaments. Diagnosis is quite difficult because of the lack of symptoms and signs until splenic torsion have occured. In this article, we present and discuss a 23-year-old caucasian woman presenting with acute abdomen, diagnosed as splenic torsion by ultrasound and magnetic resonance imaging and managed surgically.

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Torsion of the Wandering Spleen

Cited by 47 publications

References 0 publications

Splenic torsion, a challenging diagnosis in an adult presenting with acute abdomen

Splenic torsion, a challenging diagnosis in an adult presenting with acute abdomen

Acute abdomen due to torsion of the wandering spleen in a patient with Marfan Syndrome

Acute Torsion of a Wandering Spleen Causing Acute Abdomen

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