Acute torsion of wandering spleen: report of one case.
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.
Lien
Chi-Hone
CH
Department of Pediatrics, Mackay Memorial Hospital, Hsin Chu Branch, Taiwan.
Lee
Hung-Chang
HC
Yeung
Chun-Yan
CY
Chan
Wai-Tao
WT
Wang
Nein-Lu
NL
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