title: [Torsion of an ectopic spleen presented as an acute abdomen].
abstract: Ectopic spleen is rare and its acute torsion may be fatal while its correct and early diagnosis continues to represent a challenge especially in children. We are reporting a case of a 9 year-old female patient with a one month history of colicky intermittent abdominal pain and whose physical examination revealed a diffuse abdominal tenderness with a large peri-umbilical abdominal mass. A preoperative diagnosis of acute torsion of ectopic spleen was suspected and was confirmed at laparotomy as the spleen pedicle was found twisted. The spleen was congested and gangrenous indicating a splenectomy.
authors.affiliation: Laboratoire d'Anatomie Clinique, Faculté de Médecine, Université Nationale du Rwanda. nyundomartin@gmail.com
authors.forename: M
authors.initials: M
authors.lastname: Nyundo
authors.forename: F
authors.initials: F
authors.lastname: Ntirenganya
authors.forename: J C
authors.initials: JC
authors.lastname: Byiringiro
authors.forename: G
authors.initials: G
authors.lastname: Ntakiyiruta
authors.forename: J
authors.initials: J
authors.lastname: Gashegu
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D002648:Child; D002828:Choristoma / Q000175:diagnosis*; D005260:Female; D006801:Humans; D013154:Spleen; D013158:Splenic Diseases / Q000175:diagnosis*; D014102:Torsion Abnormality / Q000175:diagnosis*