Wandering spleen presenting as small bowel obstruction

Heydari, Mohammad Bagher; Johari, Hamed Ghoddusi; Eskandari, Shima

doi:10.1016/j.ajem.2013.02.017

Cited by 6 publications

(3 citation statements)

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“…GD etiyolojisi kesin olarak bilinmemekle beraber konjenital veya edinilmiş nedenler suçlanmıştır. Semtomlar dalağın uzun pedikülünün kendi etrafında [7][8][9]. Erişkinlik döneminde "edinilmiş" GD; dalağı yerinde tutan ligamanların hasarı veya bağ dokusu hastalıkları veya gebelik gibi bağları zayıflatan durumlara bağlı gelişir.…”

Section: Discussionunclassified

“…Ayakta karın grafisi, abdominal USG, CT, MRI ve Sintigrafi kullanılabilinir. Radyolojik incelemelerden özellikle CT, dalağın normal bulunması gereken sol üst kadranda olmadığı, çoğunlukla pelvis ve sol alt kadranda,uzun bir pediküle sahip olduğu, dalak parankiminin yapısını, büyüklüğünü, komşu organlarla ilişkisini, bası sonucu dilate kolon ansını, torsiyon ve aksesuar dalak olup-olmadığını göstermesinin yanında akut karına yol açan diğer patolojileride ekarte etmemize yardımcı olur [7][8][9].…”

Section: Discussionunclassified

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İleusun nadir bir nedeni: Gezici dalak

et al. 2015

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Section: Discussionunclassified

İleusun nadir bir nedeni: Gezici dalak

et al. 2015

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“…16 The clinical presentation is vague, with symptoms including nausea, vomiting, early satiety, and acute, cramplike abdominal pain 17,18 due to splenic ischemia and infarction. Bowel obstruction may occur because of the compression of abdominal organs 19 ; enuresis and hydronephrosis may be other consequences, 20 as well as gastric fundal varices, 21 mesenteric varices, 22 and acute pancreatitis. 23 The torsion of the vascular pedicle may result in splenomegaly.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Transperitoneal Left Adrenalectomy and Wandering Spleen Risk

Piccoli¹,

Pasculli

et al. 2014

JSLS

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Background and Objectives:Laparoscopic transperitoneal left adrenalectomy (LTLA) has become the standard treatment for adrenal masses <6 cm. LTLA involves the dissection of splenic suspensory ligaments, which replicates their congenital absence or weakening, present in cases of wandering spleen (WS). WS is a rare condition in which the spleen migrates from the left upper quadrant to a more caudal location in the abdomen. A unique case of WS after LTLA was described by Corcione et al. In this prospective study, we investigated the possibility of WS as a consequence of LTLA.Methods:Twenty-four patients, 8 men and 16 women, who underwent LTLA with the dissection of splenoparietal and splenorenal ligaments were selected.Results:Clinical and ultrasonographic follow-up showed no evidence of postoperative WS.Conclusions:In the literature, WS is not commonly reported as a postoperative complication of LTLA. In effect, especially in the case of small adrenal masses, the spleen's repositioning in its seat is autonomous. However, the alarming possibility of WS should not be ignored, especially in the case of extensive dissection of the left colic flexure. It would be useful for other authors to signal this complication, so that different approaches and consequent results may be compared.

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Anomalies and Anatomic Variants of the Spleen

Thomas¹,

Dachman²

2015

Textbook of Gastrointestinal Radiology, 2-Volume Set

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Wandering spleen presenting as small bowel obstruction

Cited by 6 publications

References 4 publications

İleusun nadir bir nedeni: Gezici dalak

İleusun nadir bir nedeni: Gezici dalak

Laparoscopic Transperitoneal Left Adrenalectomy and Wandering Spleen Risk

Anomalies and Anatomic Variants of the Spleen

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