[Volvulus of the mobile spleen. Conservative laparoscopic treatment].
BACKGROUND
Volvulus of the mobile spleen is a rare condition generally manifested by acute sudden onset abdominal pain localized in the left flank. Ultrasound or computed tomographic imaging generally provides the diagnosis.


METHODS
An 18-year-old patient was hospitalized for acute pain of the left flank that had begun 48 hours earlier. The abdominal scan visualized a volvulus of a mobile spleen. Laparoscopic distortion was successful, allowing normal recoloration of the spleen.


CONCLUSIONS
Rapid intervention is crucial for conservative treatment. Laparoscopic treatment allows distortion manoeuvres and splenopexia using a mesh. This is the first reported case of successful conservative laparoscopic treatment of volvulus of a mobile spleen.
Bittar
I
I
Service de Chirurgie digestive, Centre Hospitalier Intercommunal de Créteil, 40, avenue de Verdun, F 94010 Créteil.
Cohen Solal
J L
JL
Cabanis
P
P
D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D013158:Splenic Diseases / Q000473:pathology / Q000601:surgery*; D013526:Surgical Mesh