Wandering spleen: a rare cause of abdominal pain.
Torsion of a wandering spleen is a rare cause of abdominal pain in children. The most common presentation is acute abdominal pain, although signs and symptoms vary widely. Due to the risk of splenic infarction, rapid and accurate diagnosis is essential. Wandering spleen and splenic torsion can be diagnosed by Doppler ultrasound and CT scan. Treatment options include splenopexy or splenectomy. This case describes a 9-year-old girl with torsion of a wandering spleen, complicated by splenic infarction and managed by splenectomy.
Romero
Jennifer R
JR
Department of Pediatrics, Children's Hospital of Pittsburgh, PA 15213-2583, USA.
Barksdale
Edward M
EM
D015746:Abdominal Pain / Q000209:etiology*; D002648:Child; D004630:Emergencies; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D007511:Ischemia / Q000209:etiology; D007964:Leukocytosis; D008022:Ligaments / Q000002:abnormalities; D009336:Necrosis; D010179:Pancreas / Q000098:blood supply / Q000473:pathology; D010180:Pancreatectomy / Q000379:methods; D013154:Spleen / Q000002:abnormalities* / Q000000981:diagnostic imaging; D013156:Splenectomy; D013159:Splenic Infarction / Q000209:etiology / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality / Q000175:diagnosis / Q000601:surgery; D014463:Ultrasonography; D014839:Vomiting / Q000209:etiology