Torsion of a Wandering Pelvic Spleen; Acute Abdomen in a Child

Year 2012, Volume: 2 Issue: 2, 115 - 117, 01.06.2012

Metin Gündüz Adnan Abasıyanık

Abstract

Wandering spleen is an uncommon clinical entity. Acute splenic torsion of wandering spleen is a potentially fatal surgical emergency case, and its correct and early identification continues to represent a challenge especially in children. A 11 years old girl was taken to the operative room for an explorative laparotomy due to abdominal pain, tenderness, and a midabdominal mass. Preoperative computerise tomography showed a torsion of an enlarged wandering pelvic spleen which was in a serious ischemic suffering due to a 720 degrees clock torsion around its exceptionally long pedicle. Splenectomy has been the treatment for symptomatic wandering spleen as in our case.

Keywords

Wandering spleen; spleen torsion; acute abdomen

çocukta akut batın; wandering pelvik spleen torsiyonu

Abstract

Wandering spleen çok yaygın olmayan hayatı tehdit eden bir klinik tablodur. Karın ağrısı, hassasiyet ve karın orta hatta kitlesi olan 11 yaşında kız hasta opere edildi. Preoperatif dönemde yapılan bilgisayarlı tomografide uzun pedikülü etrafında saat yönünde 720° torsiyone olmuş, büyük, iskemik gezgin dalak tespit edildi. Detorsiyon sonrası kanlanma düzelmedi ve splenektomi yapıldı.

Keywords

Wandering spleen, dalak torsiyonu, akut karın

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