Journal of the Korean Association of Pediatric Surgeons  2008;14(2):183-188

Splenic Infarction due to Torsion of Wandering Spleen: A Case Report.

Hyejin KIM 1 ; Byung Ho CHOE ; Jinyoung PARK

Affiliations

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Keywords

Wandering spleen; Splenic torsion; Child

Country

Republic 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.