[Torsion of a wandering spleen: ultrasonography and computer tomography in conservative treatment. A case report].
Torsion of the vascular pedicle in a wandering spleen is treated conservatively in most of the cases whenever irreversible necrosis of the organ is not occurred. A case, in a 10 years old boy, is reported. The patient was admitted for acute abdominal pain and was investigated by ultrasounds, which showed an ectopic enlarged spleen at the left flank, without any sign of parenchymal necrosis. A spiral contrast enhanced angio-CT scan confirmed the diagnosis and demonstrated multiple ischemic lesions of splenic pulp mainly at the lower pole. The child was treated with splenopexy followed by un uneventful recovery. CT scan study in cases of torsion of a wandering spleen is of great help in confirming clinical and ultrasonographic diagnosis and in demonstrating the amount of ischemic lesion of the organ before surgical exploration.
Servizio di Radiologia, Az. Osp. S. Camillo Forlanini, Circonvallazione Gianicolense, 87, 00152 Roma.
V
V
Miele
M
M
Trinci
C
C
Andreoli
G
G
Patti
A
A
Caponetti
A
A
Calisti
D002648:Child; D002828:Choristoma / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008297:Male; D013154:Spleen; D013156:Splenectomy / Q000379:methods; D013158:Splenic Diseases / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality; D014463:Ultrasonography