title: Acute torsion of wandering spleen: report of one case.
abstract: Wandering spleen is a rare condition that can lead to splenic infarction or rupture if torsion persists. Early diagnosis and intervention are necessary, and abdominal ultrasonography and abdominal computed tomography are well accepted as the diagnostic imaging modalities. In this study, we present a boy with nic infarction due to acute torsion of a wandering spleen, after initial failure to demonstrate an ectopic spleen. Instead, acute torsion of the wandering spleen with spontaneous partial detorsion was incidentally found by multi-detector row CT with angiography. The patient was managed by splenectomy instead of splenopexy, because poor reperfusion after Laparoscopic detorsion.
authors.affiliation: Department of Pediatrics, Mackay Memorial Hospital, Hsin Chu Branch, Taiwan.
authors.forename: Chi-Hone
authors.initials: CH
authors.lastname: Lien
authors.forename: Hung-Chang
authors.initials: HC
authors.lastname: Lee
authors.forename: Chun-Yan
authors.initials: CY
authors.lastname: Yeung
authors.forename: Wai-Tao
authors.initials: WT
authors.lastname: Chan
authors.forename: Nein-Lu
authors.initials: NL
authors.lastname: Wang
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D006801:Humans; D008297:Male; D013156:Splenectomy; D013159:Splenic Infarction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014102:Torsion Abnormality / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D050805:Wandering Spleen / Q000150:complications / Q000175:diagnosis* / Q000601:surgery