The torsion of a wandering pelvic spleen: A case report.
A 15 years old patient was taken to the operative room for an explorative laparotomy due to abdominal pain and a pelvic spleen at preoperative computed tomography: was pointed out the absence of all splenic ligamentous attachments and short gastric vessels with a consequently dislocation of a bigger and congested spleen in the pelvis. This organ, wrapped in the omentum, was in a serious ischemic suffering due to a 720 degrees clock torsion around its exceptionally long pedicle (about 20 cm); besides was confirmed pancreatic body and tail ectopy. Following the derotation, the volume of the organ has decreased but became fixed in above norm dimensions. A total splenectomy was executed.
Feroci
Francesco
F
Division of General Surgery, Ospedale Misericordia e Dolce, P,za dell'ospedale 5, 59100 Prato, Italy. fferoci@yahoo.it.
Miranda
Egidio
E
Moraldi
Luca
L
Moretti
Renato
R
AJR Am J Roentgenol. 1984 Jan;142(1):100-1
6606938
J Comput Assist Tomogr. 1995 Jan-Feb;19(1):84-6
7822555
J Clin Ultrasound. 2000 Jun;28(5):246-8
10800003
Surg Today. 2007;37(3):261-9
17342372
AJR Am J Roentgenol. 1991 Jan;156(1):151-3
1898552