Torsion of a pelvic wandering spleen as a cause of acute abdomen in a woman: a case report and review of the literature.
Wandering spleen is a rare clinical condition in which the spleen is devoid of its normal peritoneal attachment associated with a long vascular pedicle. Women between the ages of 20-40 years are more likely affected. The common clinical presentation is abdominal mass with pain. For preoperative diagnosis a high index of suspicion is helpful. Ultrasonography and computerized tomography confirms the diagnosis. Treatment is surgical, splenopexy being the most appropriate. If ischemia is persistent after detorsion splenectomy can be done either laparoscopically or through laparotomy. A 25 year old female patient with torsion of an ectopic spleen presenting as a case of acute abdomen is presented. Review of the literature is done and presented
Befikadu
Sissay
S
Yekatit 12 Hospital, Addis Ababa, Ethiopia.
Gudu
Wondimu
W
Abseno
Nuru
N
D000006:Abdomen, Acute / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D013154:Spleen / Q000002:abnormalities*; D013156:Splenectomy; D013158:Splenic Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D014102:Torsion Abnormality