title: Splenic autotransplantation for a congested and enlarged wandering spleen with torsion: report of a case.
abstract: In children with diseases of the spleen, every effort should be made to preserve the organ, to prevent severe infections postsplenectomy. We report the case of a 7-year-old girl with torsion of a wandering spleen who we treated by autotransplantation of splenic tissues following splenectomy, when fixation of the enlarged spleen seemed impossible. Spleen scintigraphy showed uptake in the regenerating splenic tissues 9 months after surgery, and evidence of an increase in the size of the tissues 23 months after surgery. Howell-Jolly bodies had disappeared by 16 months after surgery. These findings suggested that the transplanted splenic tissues were resuming splenic functions. Based on our experience with this case, we conclude that autotransplantation after splenectomy is a treatment option for wandering spleen with torsion when fixation seems difficult because of splenic congestion and enlargement.
authors.affiliation: Department of Pediatric Surgery, Dokkyo Medical University Koshigaya Hospital, 2-1-50 Minami-Koshigaya, Koshigaya, Saitama 343-8555, Japan.
authors.forename: Hajime
authors.initials: H
authors.lastname: Takayasu
authors.forename: Yuki
authors.initials: Y
authors.lastname: Ishimaru
authors.forename: Kazunori
authors.initials: K
authors.lastname: Tahara
authors.forename: Yushi
authors.initials: Y
authors.lastname: Otani
authors.forename: Junko
authors.initials: J
authors.lastname: Yamagishi
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Ikeda
mesh_terms: D000792:Angiography; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011877:Radionuclide Imaging; D013154:Spleen / Q000000981:diagnostic imaging / Q000637:transplantation*; D013156:Splenectomy; D014102:Torsion Abnormality; D014182:Transplantation, Autologous; D050805:Wandering Spleen / Q000175:diagnosis / Q000601:surgery*