Wandering spleen with torsion in a geriatric patient. Report of an unusual case with a brief review of the clinical picture and management.
Wandering spleen is a rare condition that is extremely uncommon in the elderly. A case of wandering spleen with torsion in a 73-year-old female is described in detail. Our patient's presentation is unusual because in 1972, during a total hysterectomy, she had no evidence of a wandering spleen. Preoperative technetium-99 radionuclide liver-spleen studies were utilized to minimize the potential for vascular difficulties. Splenectomy was the treatment of choice for this condition and was performed to avoid splenic infarction. A review of the literature and etiologic considerations are discussed.
Department of Medicine, New York Methodist Hospital, Brooklyn 11215, USA.
R B
RB
McFee
T
T
Musacchio
D
D
Gorgescu
M
M
Bozorgnia
G
G
Abdelsayed
B R
BR
Pachter
D000368:Aged; D005260:Female; D006801:Humans; D013154:Spleen / Q000002:abnormalities*; D013156:Splenectomy; D013158:Splenic Diseases / Q000175:diagnosis* / Q000601:surgery; D014102:Torsion Abnormality