Splenic torsion: a case report.
BACKGROUND
Torsion of the spleen is a rare cause of abdominal pain. Predisposition occurs following abnormal development of splenic suspensory ligaments. We report a case of splenic torsion in a spleen sited in a normal anatomical position and discuss the latest treatment options. To the best of our knowledge, this has not been reported in the literature to date.


METHODS
A 73-year-old Caucasian woman presented to our department with sudden onset, severe, left-upper abdominal pain. An enhanced computed tomography revealed an unenhancing spleen. She underwent an urgent laparotomy and splenectomy for 360 degrees torsion of her spleen.


CONCLUSIONS
Splenic torsion in a wandering spleen has been described with an incidence of < 0.2%. Symptoms vary from asymptomatic to an acute surgical abdomen. Diagnosis is commonly made using colour Doppler sonography or enhanced computed tomography. Surgery is guided by clinical setting, with preservation of the spleen as the goal.
Department of Surgery, Maidstone Hospital, Maidstone, UK. muddassarhussain@doctors.org.uk
M
M
Hussain
R
R
Deshpande
S T R
ST
Bailey
D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D005260:Female; D006801:Humans; D013156:Splenectomy; D013158:Splenic Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*