title: [Splenic torsion as cause of acute abdomen in children].
abstract: A six-year-old boy was admitted with symptoms consistent with acute appendicitis. Immediately before placement of the first trocar, a large abdominal mass was observed which on imaging was identified as a torsioned spleen. Due to suboptimal reperfusion and risk of reperfusion-mediated morbidity a splenectomy was performed. The recovery was uneventful. The child had a twin brother who on a routine ultrasound examination was found to have a normally positioned spleen. Challenges in diagnosis and treatment of children with splenic torsion is discussed.
authors.affiliation: Center for Perioperativ Optimering, Gastroenheden, Herlev Hospital, Denmark. neelhe@stud.ku.dk
authors.forename: Neel Maria
authors.initials: NM
authors.lastname: Helvind
authors.forename: Ismail
authors.initials: I
authors.lastname: Gögenur
authors.forename: Morten
authors.initials: M
authors.lastname: Stadeager
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis* / Q000209:etiology; D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D010535:Laparoscopy; D008297:Male; D013154:Spleen / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D013156:Splenectomy; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome; D050805:Wandering Spleen / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery