1.Torsion of the wandering spleen: a case report.
Tae Gyun KIM ; Seok Won SHIM ; Jin Han BAE ; Bong Wha CHUNG ; Jae Jung LEE ; Chul Jhe PARK
Journal of the Korean Surgical Society 1993;44(4):605-610
No abstract available.
Wandering Spleen*
2.A case of Wandering spleen.
Soh Yeon KIM ; Joon Soo LEE ; Kyu Earn KIM ; Seung Kyu LEE ; Choon Sik YOON ; Ki Keun OH ; Young Jin CHUNG
Journal of the Korean Pediatric Society 1991;34(4):577-581
No abstract available.
Wandering Spleen*
3.Torsion of Wandering Spleen in Adolescents Causing Small Bowel Obstruction: A Case Report.
Young Il CHOI ; Hyung Hwan MOON ; Dong Hoon SHIN
The Korean Journal of Gastroenterology 2018;71(6):359-362
No abstract available.
Adolescent*
;
Humans
;
Wandering Spleen*
4.A Case of Wandering Spleen.
Suk Jin LEE ; Yong Woo KIM ; Yong Soon CHUN ; Min Seob SONG
Korean Journal of Pediatric Gastroenterology and Nutrition 2004;7(2):248-252
Wandering spleen is a rare condition characterized by migration of the spleen from its normal position due to laxity or absence of the supporting splenic ligaments. Ultrasonography shows the absence of the spleen in left upper quadrant (LUQ) and the presentation in the lower abdomen of a homognous mass whose sonographic appearance is consistent with that of a spleen. Contrast-enhanced CT reveals the absence of the spleen in LUQ, a soft tissue mass resembling spleen in the lower abdomen, and the splenic pedicle of whirled appearance. We present a case of wandering spleen, which could be diagnosed with US and CT by the ectopic location of spleen and the whirling pattern of splenic pedicle.
Abdomen
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Ligaments
;
Spleen
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Tomography, X-Ray Computed
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Ultrasonography
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Wandering Spleen*
5.A Case of Wandering Spleen in a Patient Who Presented at the ED with Mild Abdominal Pain in the Left Upper Quadrant.
Young Shin CHO ; Ho Jung KIM ; Yong Seong KIM ; Pyeong Moon JANG ; Jung Won LEE ; Ki Won YU ; Hoon LIM
Journal of the Korean Society of Emergency Medicine 2006;17(4):366-368
A wandering spleen is a rare entity characterized by incomplete fixation of the spleen by lienorenal and gastrosplenic ligaments. The spleen can migrate to the lower abdomen or pelvis and the condition can be congenital or acquired. We report a case of torsion of a wandering spleen in a patient presenting with progressing mild left upper quadrant pain.
Abdomen
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Abdominal Pain*
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Humans
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Ligaments
;
Pelvis
;
Spleen
;
Wandering Spleen*
6.Infarction of Wandering Spleen with Torsion of Its Pedicle: A case report.
Journal of the Korean Surgical Society 1999;57(6):919-924
Torsion of a wandering spleen is an unusual cause of an acute abdomen and is rarely diagnosed preoperatively. A splenectomy is the treatment of choice in cases of splenic torsion and infarction, while in patients with chronic symptoms, splenopexy may be attempted. I report a case with acute splenic infarction in a young male and review the clinical presentation, etiology, diagnostic procedures and treatment modalities in a wandering spleen.
Abdomen, Acute
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Humans
;
Infarction*
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Male
;
Splenectomy
;
Splenic Infarction
;
Wandering Spleen*
7.A Case of Torsion of Wandering Spleen.
Soon Kyung BAIK ; Seung Kyu PARK ; Seung Ok PARK ; Soon Jeong LEE ; Dong Jin LEE
Journal of the Korean Pediatric Society 1994;37(12):1773-1777
The wandering spleen is a rare condition, in which the spleen is located in other than the left upper quadrant of the abdomen. The clinical manifestation is variable from asymptomatic to abdominal catastrophy due to torsion of the splenic pedicle. We experienced a case of torsion of wandering spleen in 8-year-old girl who admitted with fever, vomiting, abdominal pain, palpable left abdominal mass. She was diagnosed preoperatively with the aid of abdominal sonography and C.T. scanning. A splenectomy was performed and she made uneventful recovery. The case report illustrates some of the diagnostic and therapeutic considerations pertaining to wandering spleen with a brief review of related literature.
Abdomen
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Abdominal Pain
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Child
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Female
;
Fever
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Humans
;
Spleen
;
Splenectomy
;
Vomiting
;
Wandering Spleen*
8.Wandering Spleen: An Unusual Association with Gastric Volvulus.
Yoon Hee CHOI ; Kwang Hyun CHO ; Soon Young YUN ; Hyung Min LEE ; Duk Hee LEE
Journal of the Korean Society of Emergency Medicine 2009;20(3):328-330
Gastric volvulus is a rare disease; only 700 cases have been reported since Berti first described autopsy findings of a patient in 1866. Its symptoms are non-specific and therefore it is difficult to diagnose it early. Acute gastric volvulus has a poor prognosis because it may cause shock and strangulation. Perforation or gastric hemorrhage can also result from ischemia when diagnosis is delayed. Therefore, it requires rapid diagnosis and an emergency operation. Wandering spleen is a rare condition characterized by the absence or underdevelopment of one or all of the ligaments that hold the spleen in its normal position in the abdomen. Wandering spleen and gastric volvulus have a common cause lack of intraperitoneal visceral ligaments. The authors now report a case of wandering spleen accompanying gastric voluvulus, which resulted in wandering spleen and perforation.
Abdomen
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Autopsy
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Emergencies
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Hemorrhage
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Humans
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Ischemia
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Ligaments
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Prognosis
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Shock
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Spleen
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Stomach Volvulus
;
Wandering Spleen
9.Splenopexy for Wandering Spleen with Torsion in a Child
Journal of the Korean Association of Pediatric Surgeons 1995;1(1):73-78
Torsion of the wandering spleen is a rare condition especially in children. Unfortunatly, splenectomy was the advocated treatment of choice for wandering spleen in many children up to 1985 in spite of the well-known possibility of overwhelming postsplenectomy sepsis. Because of the conclusive evidence of the vital function of the spleen in infection, indication of splenectomy have been revised and more attention has been paid to preserving the spleen where possible. We are presented a girl with splenic torsion, seen as a migratory abdominal mass and intermittent vague abdominal pain. Splenopexy by fixation of the spleen to the diaphragm and posterolateral peritoneum and the use of A vitene in the splenic bed was successfully performed. Complete fixation of the spleen was confirmed by ultrasound a year after this procedure was carried out. The clinical pesentation, etiology, diagnostic procedures and management are discussed also.
Abdominal Pain
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Child
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Diaphragm
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Female
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Humans
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Peritoneum
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Sepsis
;
Spleen
;
Splenectomy
;
Ultrasonography
;
Wandering Spleen
10.Splenic Infarction due to Torsion of Wandering Spleen: A Case Report.
Hyejin KIM ; Byung Ho CHOE ; Jinyoung PARK
Journal of the Korean Association of Pediatric Surgeons 2008;14(2):183-188
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.
Abdomen
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Abdominal Pain
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Child
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Colon
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Emergencies
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Fever
;
Humans
;
Infarction
;
Laparotomy
;
Ligaments
;
Physical Examination
;
Spleen
;
Splenectomy
;
Splenic Infarction
;
Vomiting
;
Wandering Spleen