title: [Torsion of wandering spleen in a teenager: about a case].
abstract: Wandering or migrating spleen is a rare anomaly which is usually described in children. Complications, which include pedicle torsion, are common and can be life-threatening. We report the case of a 17 year-old patient with a long past medical history of epigastric pain suffering from wandering spleen with chronic torsion of the pedicle. The clinical picture was marked by spontaneously painful epigastric mass, evolved over the past 48 hours. Abdominal ultrasound objectified heterogeneous hypertrophied ectopic spleen in epigastric position and a subcapsular hematoma. Doppler showed a torsion of splenic pedicle which was untwisted 2 turns and a small blood stream on the splenic artery. Abdominal CT scan with contrast injection showed a lack of parenchymal enhancement of large epigastric ectopic spleen and a subcapsular hematoma. The diagnosis of wandering spleen with chronic torsion of the pedicle complicated by necrosis and subcapsular hematoma was confirmed. The patient underwent splenectomy. The postoperative course was uneventful. We here discuss the contribution of ultrasound and CT scan in the diagnosis of wandering spleen with chronic torsion of the pedicle.
authors: Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, Dakar, Sénégal.
authors: Hamidou
authors: H
authors: Dème
authors: Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, Dakar, Sénégal.
authors: Léra Géraud
authors: LG
authors: Akpo
authors: Service de Médecine Interne, CHU Aristide Le Dantec, Dakar, Sénégal.
authors: Seynabou
authors: S
authors: Fall
authors: Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, Dakar, Sénégal.
authors: Nfally
authors: N
authors: Badji
authors: Service de Chirurgie Générale, CHU Aristide Le Dantec, Dakar, Sénégal.
authors: Ibrahima
authors: I
authors: Ka
authors: Service de Chirurgie Générale, CHU Aristide Le Dantec, Dakar, Sénégal.
authors: Mohamadou Lamine
authors: ML
authors: Guèye
authors: Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, Dakar, Sénégal.
authors: Mouhamed Hamine
authors: MH
authors: Touré
authors: Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, Dakar, Sénégal.
authors: El Hadj
authors: el H
authors: Niang
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000293:Adolescent; D006406:Hematoma / Q000000981:diagnostic imaging; D006801:Humans; D006984:Hypertrophy; D008297:Male; D009336:Necrosis; D013156:Splenectomy / Q000379:methods*; D013157:Splenic Artery; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D018608:Ultrasonography, Doppler / Q000379:methods; D050805:Wandering Spleen / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery
keywords: CT scan; Wandering spleen; splenectomy; torsion of the pedicle; ultrasound