[Torsion of the spleen in children].
The wandering spleen is caused by congenital absence of fixating ligaments or abnormally long ligaments. It is an uncommon clinical entity, which rarely affects children. The clinical presentation of wandering spleen is variable, but the most dangerous complication is splenic torsion. A 7 year-old boy presented with abdominal pain and vomiting. The abdominal ultrasound scan discovered spleen ischemia. Volvulus of the spleen was evoked. Laparotomy was carried out and the patient underwent splenectomy. In this case the anatomical means of spleen fixity were absent. Because wandering spleen is uncommon in the paediatric population, a heightened awareness of the condition is required for accurate diagnosis and appropriate management. The treatment of choice is splenopexy, while if splenic necrosis is present, splenectomy is required.
McHeik
J N
JN
Département médico-chirurgical de pédiatrie, hôpital Jean-Bernard, CHU de Poitiers, 350, avenue Jacques-Coeur, BP 577, 86021 Poitiers cedex, France. j.mcheik@chu-poitiers.fr
Richer
J P
JP
Levard
G
G
D015746:Abdominal Pain / Q000209:etiology; D002648:Child; D006801:Humans; D008297:Male; D009336:Necrosis; D013154:Spleen / Q000473:pathology; D013156:Splenectomy; D013158:Splenic Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality; D014839:Vomiting / Q000209:etiology