Wandering spleen with chronic torsion.
Wandering spleen, a rare clinical entity with a high incidence of splenic torsion and infarction, was preoperatively diagnosed in a 28-year-old woman. Axial computed tomography showed the absence of the spleen in the left subphrenic space and a spleen-like mass in the pelvis, suggestive of a wandering spleen. A coronal contrast-enhanced computed tomography image exhibited the enlarged spleen suspended by elongated, dilated, and somewhat tortuous splenic vessels. Owing to the symptomatic splenomegaly with hypersplenism and chronic torsion, laparoscopic splenectomy was performed.
Misawa
Takeyuki
T
Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-ku, Tokyo 105-8461, Japan. take-misawa@jikei.ac.jp
Yoshida
Kazuhiko
K
Shiba
Hiroaki
H
Kobayashi
Susumu
S
Yanaga
Katsuhiko
K
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D002908:Chronic Disease; D003248:Constipation / Q000209:etiology; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006971:Hypersplenism / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D010535:Laparoscopy; D013156:Splenectomy / Q000379:methods; D013163:Splenomegaly / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods; D014102:Torsion Abnormality / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D050805:Wandering Spleen / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*
D003287:Contrast Media