Keywords
acute torsion
pediatric splenoptosis
splenopexy
How to Cite
Abstract
Wandering spleen is an uncommon clinical entity in children, representing less than 0,25% of all splenectomies. It is caused by laxity or absence of the supporting splenic ligaments. Its clinical spectrum varies from asymptomatic disease with incidental finding to acute abdominal pain due to torsion. The knowledge of this condition and its radiological findings plays a crucial role in reaching the correct diagnosis and timely surgical treatment. Spleen preservation with splenopexy is recognized as the procedure of choice. We report a case of a four year old patient with a history of anti-reflux surgery, with a wandering spleen and splenic torsion, successfully managed with spleen conservation and splenopexy. MÉD.UIS.2021;34(1): 113-18.
References
2. Maestre Serrano YR, Acevedo-reyes H, Cohen-Ríos S, Álvarezjiménez J. Bazo errante gigante con torsión del pedículo e infarto esplénico : Reporte de un caso. Rev Cir. 2019;71(3):257-60.
3. Mehta A, Vana PG, Glynn L. Splenic torsion after congenital diaphragmatic hernia repair : Case report and review of the literature. J Pediatr Surg. 2013;48(3):29-31.
4. Brown BCVR, Virgilio GR, Vazquez WD. Wandering spleen and its complications in children: a case series and review of the literature. J Pediatr Surg. 2003;38(11):1676-9.
5. Anand S, Yadav DK, Sharma S, Varshney A. Acute torsion of a wandering spleen : a paediatric emergency. BMJ Case Rep. 2018:2-3.
6. Cohen O, Baazov A, Samuk I, Schwarz M, Kravarusic D, Freud E. Emergencies in the Treatment of Wandering Spleen. Isr Med Assoc J. 2018;20(6):354-7.
7. Khan DB, Khandwala K, Abbasi S, Khan SD, Raza R. Torsion of Wandering Spleen with Infarction. Cureus. 2018;10(8):8-12.
8. Nemcek A, Miller FH, Fitzgerald SW. Acute Torsion of a Wandering Spleen: Diagnosis by CT and Duplex Doppler and Color Flow Sonography. AJR Am J Roentgenol. 1991;157:307-9.
9. Ghahremani S, Sabour M, Ghahremani S, Bazrafshan A, Sadeghi R. A wandering spleen detected by 99m Tc-denatured RBC scan. Iran J Nucl Med. 2018;26(1):66-7.
10. Swischuk LE, Williams JB, John SD. Torsion of wandering spleen : the whorled appearance of the splenic pedicle on CT. Pediatr Radiol. 1993;23:476-7.
11. Le K, Griner D, Hope WW, Tackett D. Splenic Torsion Requiring Splenectomy Six Years Following Laparoscopic Nissen Fundoplication. JSLS. 2012;16(1):184-8.
12. Steinberg BR, Karmazyn B, Dlugy E, Gelber E, Freud E, Horev G, et al. Clinical Presentation of Wandering Spleen. J Pediatr Surg. 2002;37(10):1-4.
13. Palanivelu C, Rangarajan M, Senthilkumar R, Parthasarathi R, Kavalakat AJ. Laparoscopic Mesh Splenopexy (SandwichTechnique) for Wandering Spleen. JSLS. 2007; 11(2):246–51.
14. Vásquez JL, Montero M, Díaz F, Muguerza R, Páramo C, Rodríguez-Costa A. Acute torsion of the spleen: diagnosis and management. Pediatr Surg Int. 2004;20(2):153-4.
15. Chu J, Li Z, Luo B, Yang J. Wandering spleen with torsion and complete infarction. Acta Radiol. 2011;52(8):911-3.
16. Cecchetto G, Dall’Igna P, Nogare CD, Gasparella P, Zanon GF. Acute splenic torsion in children: which is the best treatment? A case report. Pediatr Med Chir. 2012;34(3):146-7.
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