Wandering spleen with chronic torsion in a patient with thalassaemia.
- Author:
Chi Long HO
1
Author Information
1. Department of Diagnostic Radiology, Singapore General Hospital, 4 Outram Road, Singapore 169608. clho_2002@yahoo.com.
- Publication Type:Case Reports
- MeSH:
Abdominal Pain;
Aged;
China;
ethnology;
Female;
Hospitals;
Humans;
Singapore;
Thalassemia;
Tomography, X-Ray Computed;
Torsion Abnormality;
complications;
diagnosis;
surgery;
Wandering Spleen;
complications;
diagnosis;
surgery
- From:Singapore medical journal
2014;55(12):e198-200
- CountrySingapore
- Language:English
-
Abstract:
Wandering spleen or splenoptosis is an uncommon entity and often an asymptomatic finding of acute abdomen in the emergency department. A high index of suspicion for splenic torsion is required, particularly in patients with known splenomegaly, as this condition could potentially lead to splenic infarction. Recognition of this condition can help avoid potential confusion with acute abdomen of other aetiologies. Herein, we present a unique case of wandering spleen with chronic torsion, which, to the best of our knowledge, has never been described in an elderly patient with haemoglobin H thalassaemia. We also review the literature for the aetiology and pathogenesis of wandering spleen, and discuss the relevant diagnostic modalities and treatment options.
