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Bucknoff MC, Rolph KE. Splenic torsion in a cat with chronic anemia. JFMS Open Rep 2024; 10:20551169231216405. [PMID: 38304753 PMCID: PMC10832429 DOI: 10.1177/20551169231216405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2024] Open
Abstract
Case summary A 4-year-old female spayed domestic shorthair cat with chronic anemia was evaluated for acute-onset lethargy, vomiting, abdominal distension, and a palpably enlarged and firm spleen. Abdominal ultrasound confirmed marked splenomegaly and concern for a splenic infarct, prompting exploratory abdominal surgery, where splenic torsion was diagnosed. A splenectomy was performed, and the cat recovered uneventfully. Splenitis was diagnosed on histopathology. Anemia improved postoperatively. The role of chronic anemia and other concurrent findings in the development of splenic torsion in this case remains unknown. Relevance and novel information Splenic torsion has not been previously reported in cats, making this the first case of its kind. In cases of splenomegaly and abnormal splenic blood flow, splenic torsion should be considered a differential diagnosis in cats.
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Affiliation(s)
- Melissa C Bucknoff
- Center for Integrative Mammalian Research, Ross University School of Veterinary Medicine, Basseterre, St Kitts, West Indies
| | - Kerry E Rolph
- Center for Integrative Mammalian Research, Ross University School of Veterinary Medicine, Basseterre, St Kitts, West Indies
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2
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Ghasemi S, Najari D, Mirhosseini M, Refaei M. Wandering spleen; a rare clinical presentation of chronic pain with acute torsion. Clin Case Rep 2023; 11:e8270. [PMID: 38033686 PMCID: PMC10682236 DOI: 10.1002/ccr3.8270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Revised: 11/13/2023] [Accepted: 11/17/2023] [Indexed: 12/02/2023] Open
Abstract
Wandering spleen results from abnormal ligamentous laxity and is often symptomatic, presented with abdominal pain and other non-specific symptoms. These symptoms, make the diagnosis very difficult and most of the times even impossible. As such, keeping in mind this pathology, can make further complications less frequent.
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Affiliation(s)
- Shahab Ghasemi
- Department of General & Vascular Surgery, Shohadaye Tajrish HospitalShahid Beheshti University of Medical SciencesTehranIran
| | - Dorsa Najari
- Department of General & Vascular Surgery, Shohadaye Tajrish HospitalShahid Beheshti University of Medical SciencesTehranIran
| | - Mohammadmoein Mirhosseini
- Department of General & Vascular Surgery, Shohadaye Tajrish HospitalShahid Beheshti University of Medical SciencesTehranIran
| | - Meisam Refaei
- Department of General & Vascular Surgery, Shohadaye Tajrish HospitalShahid Beheshti University of Medical SciencesTehranIran
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3
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Imawari K, Uojima H, Hayama K, Toshimitsu F, Sanoyama I, Iwasaki S, Wada N, Kubota K, Hidaka H, Nakazawa T, Shibuya A, Suzuki T, Kumamoto Y, Saegusa M. Splenectomy for Torsion of a Wandering Spleen in a Patient with Myeloproliferative Disease. Intern Med 2022; 61:2143-2148. [PMID: 34897151 PMCID: PMC9381354 DOI: 10.2169/internalmedicine.8391-21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
We herein report a rare case of torsion of a wandering spleen in a patient with myeloproliferative disease. A 66-year-old Japanese woman presented to our hospital with abdominal pain and a fever. She had a medical history of polycythemia and secondary myelofibrosis. Abdominal enhanced computed tomography showed an enlarged spleen without enhancement in the lower pelvic region. The clinical diagnosis was severe torsion of a wandering spleen in a patient with myeloproliferative disease, necessitating surgical intervention. Splenectomy was performed after de-rotating to revascularize the spleen. After the operation, the platelet count gradually increased, and aspirin was administered to prevent thrombosis.
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Affiliation(s)
- Kana Imawari
- Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan
| | - Haruki Uojima
- Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan
| | - Kei Hayama
- Department of Hematology, Kitasato University School of Medicine, Japan
| | - Fujio Toshimitsu
- Department of Surgery, Kitasato University School of Medicine, Japan
| | - Itaru Sanoyama
- Department of Pathology, Kitasato University School of Medicine, Japan
| | - Shuichiro Iwasaki
- Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan
| | - Naohisa Wada
- Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan
| | - Kousuke Kubota
- Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan
| | - Hisashi Hidaka
- Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan
| | - Takahide Nakazawa
- Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan
| | - Akitaka Shibuya
- Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine, Japan
| | - Takahiro Suzuki
- Department of Hematology, Kitasato University School of Medicine, Japan
| | - Yusuke Kumamoto
- Department of Surgery, Kitasato University School of Medicine, Japan
| | - Makoto Saegusa
- Department of Pathology, Kitasato University School of Medicine, Japan
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4
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Tang PH, Tangaperumal A, Ahmad NA, Bahari M, Mra A, Teh YG. Torsed wandering spleen as a cause of recurrent abdominal pain in a child. Radiol Case Rep 2022; 17:1794-1797. [PMID: 35369544 PMCID: PMC8965025 DOI: 10.1016/j.radcr.2022.03.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Revised: 02/24/2022] [Accepted: 03/02/2022] [Indexed: 11/26/2022] Open
Abstract
Wandering spleen is an uncommon cause of acute abdomen in children. Diagnosis of this condition is challenging due to its non-specific symptoms, varying intensity and protracted history of presentation. Radiographs and ultrasound imaging provide rapid and reliable means to diagnose this condition without exposure to excessive radiation. We present a case of a torsed wandering spleen in a child with recurrent abdominal pain. We highlight the role of imaging in identifying salient radiographic and sonographic signs for diagnosis.
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Affiliation(s)
- Peng Hui Tang
- Department of Radiology, Sabah Women & Children's Hospital, 88450 Kota Kinabalu Sabah
| | - Anithaa Tangaperumal
- Department of Radiology, Sabah Women & Children's Hospital, 88450 Kota Kinabalu Sabah
| | - Nur Aini Ahmad
- Department of Pediatric Surgery, Sabah Women & Children's Hospital, 88450 Kota Kinabalu Sabah
| | - Mughni Bahari
- Department of Pediatric Surgery, Sabah Women & Children's Hospital, 88450 Kota Kinabalu Sabah
| | - Aung Mra
- Department of Surgery, Faculty of Medicine & Health Sciences, University Malaysia Sabah, 88400 Kota Kinabalu, Sabah
| | - Yong Guang Teh
- Department of Radiology, Sabah Women & Children's Hospital, 88450 Kota Kinabalu Sabah.,Department of Radiology, Faculty of Medicine & Health Sciences, University Malaysia Sabah, 88400 Kota Kinabalu, Sabah, Malaysia
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5
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Weng SP, Wu TM, Chien CS, Lin SH. Treatment of Fabella syndrome with arthroscopic fabellectomy: a case series and literature review. BMC Musculoskelet Disord 2021; 22:748. [PMID: 34461874 PMCID: PMC8406563 DOI: 10.1186/s12891-021-04630-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Accepted: 08/17/2021] [Indexed: 11/18/2022] Open
Abstract
Background The fabella is a sesamoid bone in the posterolateral capsule of the human knee joint. In quadrupedal mammals, the fabella is believed to have a role similar to the patella in redirecting extension forces of the knee joint from one point to another. In bipeds, the fabella is not touching the back of the bent knee, and therefore the role in redirecting forces declines. Posterolateral knee pain can be associated with the irritation between the fabella and lateral femoral condyle, a phenomenon also known as fabella syndrome. In cases that are unresponsive to conservative management, surgical fabellectomy can be a successful treatment option. Among the surgical approaches, open resection is most commonly seen. There are also literature reporting arthroscopic-assisted open resection, but seldom mentioned the all-arthroscopic fabellectomy. Case presentation We present 3 patients with a long history (> 12 month) of posterolateral knee pain under suspicion of different pain origins. The diagnosis of fabella impingement was eventually made by ruling out of other causes. All the patients underwent all-arthroscopic fabellectomy for diagnosis and treatment. Investigations of the resected fabella suggested chronic impingement with apparent osteophyte formation and cartilage wearing of the articular side. All patients have been continually followed up at our outpatient department and reported to be pain free after the procedure. Conclusions In the patients presenting posterolateral pain, fabella syndrome cannot be ignored due to its relative higher presence in Asian population. In our experience, the all-arthroscopic fabellectomy offers a smaller wound size, less post-operative pain, fewer days of hospitalization and quicker time to rehabilitation for the patients with chronic posterolateral knee pain caused by fabella syndrome.
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Affiliation(s)
- Shuo-Po Weng
- Orthopedic Department, Kaohsiung Veterans General Hospital, No.386, Dazhong 1st Rd., Zuoying Dist., Kaohsiung City, Taiwan (Republic of China)
| | - Tsung-Mu Wu
- Orthopedic Department, Chi-Mei Medical Center, No.901, Zhonghua Rd., Yongkang Dist., Tainan City, Taiwan (Republic of China)
| | - Chi-Sheng Chien
- Orthopedic Department, Chi-Mei Medical Center, No.901, Zhonghua Rd., Yongkang Dist., Tainan City, Taiwan (Republic of China)
| | - Sheng-Hui Lin
- Orthopedic Department, Chi-Mei Medical Center, No.901, Zhonghua Rd., Yongkang Dist., Tainan City, Taiwan (Republic of China).
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6
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Splenic infarction: Torsion of a wandering spleen in a child. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2021. [DOI: 10.1016/j.epsc.2020.101702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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7
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The prevalence of fabella and its association with the osteoarthritic severity of the knee in Korea. Clin Rheumatol 2020; 39:3625-3629. [DOI: 10.1007/s10067-020-05078-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2020] [Revised: 03/23/2020] [Accepted: 04/01/2020] [Indexed: 10/24/2022]
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8
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Zheng L, Li D, Wang W. Endoscopic full-thickness resection of gastric ectopic splenic nodules. BMC Gastroenterol 2020; 20:388. [PMID: 33213371 PMCID: PMC7678266 DOI: 10.1186/s12876-020-01533-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Accepted: 11/09/2020] [Indexed: 11/30/2022] Open
Abstract
Background Ectopic spleen is extremely rare. Most cases are congenital, acquired ectopic spleen may be a consequence of surgery or trauma to the spleen. The ectopic spleen in the gastric wall we reported is even rarer.
Case presentation We report a 41-year-old female patient, with a past history of splenectomy, who presented with heartburn. Gastroscopy revealed a swelling in the fundus in the stomach. Ultrasonography and computed tomographic examination suggested the possibility of gastrointestinal stromal tumor. We performed endoscopic resection of the mass. Pathological examination of the resected mass showed ectopic spleen. Conclusion When a patient with a history of splenectomy presents with a gastric submucosal tumor, ectopic spleen should also be considered in the differential diagnoses. And minimally invasive endoscopic treatment can achieve the purpose of diagnosis and treatment for unobvious submucosal tumors.
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Affiliation(s)
- Linfu Zheng
- Department of Gastroenterology, 900th Hospital of PLA, Oriental Hospital Affiliated to Xiamen University, Fujian Medical University, Fuzhou, 350025, China
| | - Dazhou Li
- Department of Gastroenterology, 900th Hospital of PLA, Oriental Hospital Affiliated to Xiamen University, Fujian Medical University, Fuzhou, 350025, China
| | - Wen Wang
- Department of Gastroenterology, 900th Hospital of PLA, Oriental Hospital Affiliated to Xiamen University, Fujian Medical University, Fuzhou, 350025, China.
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Wang Z, Zhao Q, Huang Y, Mo Z, Tian Z, Yang F, Wang Y, Yao L. Wandering spleen with splenic torsion in a toddler: A case report and literature review. Medicine (Baltimore) 2020; 99:e22063. [PMID: 32925740 PMCID: PMC7489642 DOI: 10.1097/md.0000000000022063] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
RATIONALE Wandering spleen (WS) is a rare clinical entity characterized by splenic hypermobility caused by absent or abnormal laxity of the suspensory ligaments, which fix the spleen in its normal position. Due to abnormal attachment, the spleen is predisposed to torsion and a series of complications. Pediatric WS is mostly reported in children aged <10 years, especially among infants aged <1 year; it is uncommon among toddlers between 1 and 3 years. To the authors' knowledge, only seven cases of WS have been described previously. Herein, we present the case of a 3-year-old toddler with WS and splenic torsion. PATIENT CONCERNS A 3-year-old boy was presented to the pediatric emergency room with a 2-day history of abdominal pain and vomiting. The ultrasonographic examination revealed a mass in the left upper abdomen cavity and absence of spleen in its normal position. Computed tomography showed an enlarged displaced spleen occupying the left abdomen cavity with an elongated splenic vascular pedicle (whirl sign), suggesting splenic torsion. DIAGNOSES The patient was diagnosed that had WS and splenomegaly, with or without complications due to splenic torsion. INTERVENTIONS The patient underwent emergency laparotomy and splenectomy due to nonviability after detorsion. OUTCOMES The postoperative course was uneventful, and the patient was discharged on the 7th day postoperatively without complications. The patient had favorable outcome over a 1-year follow-up. LESSONS Herein, we reported the case of a toddler with WS with splenic torsion. Moreover, after reviewing relevant studies in literature, we presented our findings on the diagnosis and treatment of toddlers with WS. Toddlers with WS are characterized by acute abdominal pain, unclear history description, examination restrictions, and high rates of life-threatening complications. High level of suspicion, careful physical examination, detailed history collection, and objective investigation are crucial in the management of toddlers with WS.
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Affiliation(s)
| | | | - Yuanyuan Huang
- Department of Pediatric Outpatient, The First Hospital of Jilin University
| | | | - Zhisen Tian
- Department of Spine Surgery, China-Japan Union Hospital of Jilin University
| | | | - Yuanyi Wang
- Department of Spine Surgery, The First Hospital of Jilin University, Changchun, China
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10
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Hou W, Xu L, Wang J, Wang B, Liu L, Xu K, Cai Y, Guo H, Xu P. Fabellar prevalence, degeneration and association with knee osteoarthritis in the Chinese population. Sci Rep 2019; 9:13046. [PMID: 31506455 PMCID: PMC6736872 DOI: 10.1038/s41598-019-49174-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2018] [Accepted: 08/20/2019] [Indexed: 01/13/2023] Open
Abstract
The fabella is a sesamoid bone of the knee that can degenerate in some patients with osteoarthritis. The purpose of this study was to examine the prevalence and degeneration grades of fabellae in the Chinese population and to analyse their relationships with subject ages and knee osteoarthritis grades. The anteroposterior and lateral knee roentgenograms of 1150 subjects were recruited from the institutional database. The Kellgren-Lawrence scoring system was used to evaluate knee osteoarthritis. The degeneration grades of fabellae were scored in lateral roentgenograms by screening their shapes, sizes, subchondral sclerosis and osteophyte formation. The prevalence and degeneration of fabellae among ages, genders and knee sides were analysed by the Pearson Chi-Square test, and their relationships with knee osteoarthritis were analysed by the Spearman nonparametric correlation test. The overall prevalence of fabellae was 48.6% in 1359 knees. There was no significant difference in fabellar prevalence between the two sides (χ² = 0.025, P = 0.87437) and genders (χ² = 3.647, P = 0.05617), while the prevalence increased with the increasing ages of the subjects (χ² = 213.868, P < 0.001). The fabellar degeneration grades were correlated with age (r = 0.5288, P < 0.001) and knee osteoarthritis scores (r = 0.6892, P < 0.001). These results suggested that the fabellar prevalence and degeneration grades were correlated with age and knee osteoarthritis scores.
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Affiliation(s)
- Weikun Hou
- Osteonecrosis and Joint Reconstruction Ward, Department of Joint Surgery, HongHui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, 710054, China
| | - Lin Xu
- Osteonecrosis and Joint Reconstruction Ward, Department of Joint Surgery, HongHui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, 710054, China.,Department of Orthopaedics, Hanzhong 3201 Hospital, Hanzhong, Shaanxi, 723000, China
| | - Jingbo Wang
- Department of Radiology, HongHui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, 710054, China
| | - Bo Wang
- Center for Translational Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, 710061, China
| | - Lin Liu
- Osteonecrosis and Joint Reconstruction Ward, Department of Joint Surgery, HongHui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, 710054, China
| | - Ke Xu
- Osteonecrosis and Joint Reconstruction Ward, Department of Joint Surgery, HongHui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, 710054, China
| | - Yuanzhen Cai
- Osteonecrosis and Joint Reconstruction Ward, Department of Joint Surgery, HongHui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, 710054, China
| | - Hao Guo
- Osteonecrosis and Joint Reconstruction Ward, Department of Joint Surgery, HongHui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, 710054, China
| | - Peng Xu
- Osteonecrosis and Joint Reconstruction Ward, Department of Joint Surgery, HongHui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, 710054, China.
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11
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Nastiti NA, Niam MS, Khoo PJ. Emergency laparoscopic splenectomy for torsion of wandering spleen in a geriatric patient: A case report. Int J Surg Case Rep 2019; 61:91-95. [PMID: 31352320 PMCID: PMC6664162 DOI: 10.1016/j.ijscr.2019.07.021] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2019] [Revised: 07/12/2019] [Accepted: 07/12/2019] [Indexed: 11/24/2022] Open
Abstract
Wandering spleen is rare in geriatric / elderly population. Wandering spleen torsion may present as acute abdomen. Imaging is needed to diagnose wandering spleen. Imaging is essential in assessing splenic perfusion in case of torsion. Non-viable spleen can be managed by laparoscopic splenectomy.
Introduction Wandering spleen (WS) is an uncommon congenital or acquired condition where the spleen is displaced from its normal position at the left hypochondrium to anywhere within the abdominal or pelvic cavity. The incidence is extremely rare in the geriatric population. Presentation of Case We present a rare case of WS torsion in a 69-year-old elderly patient who presented with an acute abdomen. Physical examination revealed a tender right lower quadrant abdominal mass. Imaging studies confirmed the diagnosis of WS torsion with features of infarction. Subsequently, an emergency laparoscopic splenectomy was performed. Discussion A WS occurs due to the hypermobility of the spleen secondary to the absence or laxity of splenic suspensory ligaments. It is more commonly seen in children and adults in the third decade of life. Symptoms are usually attributed to the consequences of splenic vascular pedicle torsion. Exhibited symptoms might be unspecific; thus, radiological modalities are essential to determine the diagnosis and aid in planning its management. The treatment of choice is either open or laparoscopic splenopexy or splenectomy. Conclusion Due to potentially life-threatening consequences and the rarity of such cases, a thorough history, detailed physical examination, and objective investigation are the pillars to attain a prompt diagnosis for appropriate management to be conducted as soon as possible to minimise complications.
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Affiliation(s)
| | - Muhammad S Niam
- University of Brawijaya, Malang, 65145, East Java, Indonesia.
| | - Phong Jhiew Khoo
- Newcastle University Medicine Malaysia, Iskandar Puteri, 79200, Johor, Malaysia.
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Rizzuto A, Di Saverio S. Laparoscopic splenectomy for a simultaneous wandering spleen along with an ectopic accessory spleen. Case report and review of the literature. Int J Surg Case Rep 2018; 43:36-40. [PMID: 29482086 PMCID: PMC5907687 DOI: 10.1016/j.ijscr.2018.01.017] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2017] [Revised: 01/08/2018] [Accepted: 01/21/2018] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND Wandering spleen and accessory spleen are uncommon entity occurring during embryonic development. Wandering spleen results in an excessive mobility and migration of the spleen from its normal position in the left hypochondrium while accessory spleen is characterized by ectopic splenic masses or tissue disjointed from the main body of spleen. Due to the nonspecific and multiple symptoms the clinical diagnosis of both conditions is uncertain even with imaging techniques, such as CT and MRI. The coexistence of both diseases (wandering spleen ad accessory spleen) is uncommon. CASE REPORT A 17-year old European female with a history of minor beta thalassemia and recurrent attacks of abdominal pain. Pre- operative management consisted of routine laboratory tests, ultrasound, CT scan. An ectopic spleen along with an accessory spleen were diagnosed. After a multidisciplinary board a laparoscopic splenectomy was performed. Post-operative recovery was uneventful, and the patient was discharged on the 6th post-operative day with the indication to continue the therapy with low molecular weight heparin (LMWH) for 30 days CONCLUSIONS: This case represents a simultaneous condition of wandering splenomegaly along with an ectopic wandering spleen. The coexistence of these two rare conditions is peculiar such as the age of the patient, as literature reports such diseases to affect children or more commonly people in the range of 20-40 years of age. Laparoscopic treatment for this particular condition is also unusual.
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Affiliation(s)
- Antonia Rizzuto
- Department of Medical and Surgical Sciences, University Magna Græcia of Catanzaro, Italy.
| | - Salomone Di Saverio
- Maggiore Hospital Regional Emergency Surgery and Trauma Center, Bologna Local Health District, Bologna, Italy
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13
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Wandering Spleen and Portal Hypertension: A Vicious Interplay. ACG Case Rep J 2017; 4:e54. [PMID: 28459078 PMCID: PMC5404629 DOI: 10.14309/crj.2017.54] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2016] [Accepted: 03/03/2017] [Indexed: 12/20/2022] Open
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14
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Jiang M, Chen P, Ruan X, Ye X, Huang Q. Acute torsion of wandering spleen in a 17-year-old girl. Int J Clin Exp Med 2015; 8:11621-11623. [PMID: 26379994 PMCID: PMC4565377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2015] [Accepted: 07/06/2015] [Indexed: 06/05/2023]
Abstract
The acute torsion of wandering spleen is a very rare disease characterized by acute abdominal pain. Without early surgical intervention, wandering spleen can lead to splenic infarction or rupture. However, early clinical diagnosis is very difficult, so imaging modalities play an important role. We present a case of acute abdominal pain due to torsion of the wandering spleen in a 17-year-old girl, diagnosed by computed tomography and effectively managed by splenectomy for splenic infarction.
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Affiliation(s)
- Maoqing Jiang
- Department of Radiology, Ningbo First HospitalZhejiang, China
| | - Ping Chen
- Department of Nephrology, Ningbo First HospitalZhejiang, China
| | - Xinzhong Ruan
- Department of Radiology, Ningbo First HospitalZhejiang, China
| | - Xianwang Ye
- Department of Radiology, Ningbo First HospitalZhejiang, China
| | - Qiuli Huang
- Department of Radiology, Ningbo First HospitalZhejiang, China
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