Splenic Infarction due to Torsion of Wandering Spleen: A Case Report.
- Author:
Hyejin KIM
1
;
Byung Ho CHOE
;
Jinyoung PARK
Author Information
1. Department of Surgery, School of Medicine, Kyungpook National University, Taegu, Korea. kpnugs@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Wandering spleen;
Splenic torsion;
Child
- MeSH:
Abdomen;
Abdominal Pain;
Child;
Colon;
Emergencies;
Fever;
Humans;
Infarction;
Laparotomy;
Ligaments;
Physical Examination;
Spleen;
Splenectomy;
Splenic Infarction;
Vomiting;
Wandering Spleen
- From:Journal of the Korean Association of Pediatric Surgeons
2008;14(2):183-188
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Wandering spleen is very rare condition in children characterized by migration of the spleen from its normal position due to laxity or absence of the supporting splenic ligaments. We experienced a case of splenic infarction due to torsion of a wandering spleen in a 6-year-old boy who presented with fever, vomiting, and abdominal pain of 2 day's duration. On physical examination, there was severe tenderness in the left upper quadrant of the abdomen. The plain abdominal radiograph showed marked colonic gaseous distension. Contrast-enhanced abdominal computed tomography scan showed decreased density of spleen in the normal position, consistent with infarction. At emergency laparotomy, a wandering spleen twisted 360degrees on its pedicle was found. Despite splenic detorsion, blood flow could not be restored. Splenectomy was therefore performed. The child was discharged 7 days after surgery without any complications.
