An Unexpected Acute Abdomen Case: Torsion of a Wandering Spleen Treated with Splenopexy

Yıl 2021, , 4 - 6, 18.03.2021

Mehtap Ilgar , Serkan Ünlü , Mehmet Akçiçek , Gökhan Demirtaş

https://doi.org/10.33706/jemcr.811390

Öz

Wandering spleen is a rare condition that results from the absence or looseness of the hanging ligaments that keep the spleen in its normal anatomical location. It can lead to acute abdomen with torsion and infarction of the splenic pedicle. In this article, we present a patient who came to the hospital with a grievance of severe abdominal pain and was diagnosed with a torsion of wandering spleen. The patient was treated with splenopexy. Although it is a rare case, wandering spleen should also be think of in the differential diagnosis of acute abdomen.

Anahtar Kelimeler

acute abdomen, wandering spleen, torsion

Kaynakça

• 1. Jones B, Callahan J, Cole A, et al. The case of the wandering spleen. Journal of Diagnostic Medical Sonography. 2012; 29 (3): 130-32. DOI: 10.1177/8756479312472392
• 2. Lebron R, Self M, Mangram A, et al. Wandering spleen presenting as recurrent pancreatitis. JSLS: Journal of the Society of Laparoendoscopic Surgeons. 2009;12 (3): 310-3. PMID: 18765060
• 3. Bouassida M, Sassi S, Chtourou MF, et al. A wandering spleen presenting as a hypogastric mass: casereport. Pan Afr Med J The Pan African Medical Journal. 2012; 11: 31. PMID: 22514765
• 4. Corcione F, Caiazzo P, Cuccurullo D et al. Laparoscopic splenectomy for the treatment of wandering spleen. Surg Endosc. Surgical Endoscopy and Other Interventional Techniques 2004; 18(3): 554-6. PMID: 15115016 DOI:10.1007 / s00464-003-4254-5
• 5. Moran JC, Shah U, Singer JA. Spontaneous rupture of a wandering spleen: Case report and literature review. Current Surgery 2003; 60 (3): 310-2. PMID: 14972263 DOI: 10.1016 / s0149-7944 (02) 00737-7
• 6. Reisner DC, Burgan CM, Wandering spleen : An overview. Current Problems in Diagnostic Radiology 2018; 47(1): 68-70 DOI: 10.1067/j.cpradiol.2017.02.007
• 7. Priyadarshi RN, Anand U, Kumar B et al. Torsion in wandering spleen: CT demonstration of whirlsign. Abdominal Imaging 2013; 38(4): 835–8. DOI: 10.1007 / s00261-012-9944-9
• 8. Sato M, Miyaki Y, Tochikubo J et al. Laparoscopic splenectomy for a wandering spleen complicating gastric varices: report of a case. Surgical Case Reports 2015; 1:3 DOI: 10.1186/s40792-014-0003-3