Torsion of the Wandering Spleen

Wandering spleen, defined as a spleen without its usual peritoneal attachments, is a rare entity. We report a 34-year-old woman with acute abdomen due to torsion of the long vascular pedicle of a wandering spleen, displaced in the abdominal cavity, and infarction of the spleen. Wandering spleen was...

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Main Authors: Baradaran Hossein, Fadaei-Araghi Mohsen, Matin Arash, Shakiba Behnam
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2009-10-01
Series:Acta Medica Iranica
Subjects:
Online Access:http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/14484.pdf&manuscript_id=14484
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author Baradaran Hossein
Fadaei-Araghi Mohsen
Matin Arash
Shakiba Behnam
author_facet Baradaran Hossein
Fadaei-Araghi Mohsen
Matin Arash
Shakiba Behnam
author_sort Baradaran Hossein
collection DOAJ
description Wandering spleen, defined as a spleen without its usual peritoneal attachments, is a rare entity. We report a 34-year-old woman with acute abdomen due to torsion of the long vascular pedicle of a wandering spleen, displaced in the abdominal cavity, and infarction of the spleen. Wandering spleen was diagnosed by ultrasound and computed tomography (CT) scan, and was managed by splenectomy in this patient. Wandering spleen usually occurs in 20 to 40 years old women. The most common presentation is acute abdominal pain, although signs and symptoms vary widely. Due to the risk of splenic infarction, rapid and accurate diagnosis is essential. A confirmatory diagnosis of a wandering spleen depends heavily upon imaging studies such as abdominal ultrasound, abdominal and pelvic CT scanning, nuclear scintigraphy or a liver-spleen scan. Treatment options include splenopexy or splenectomy.
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spelling doaj.art-24570394719e449e81fd55d197659d592022-12-21T20:22:22ZengTehran University of Medical SciencesActa Medica Iranica0044-60252009-10-01473245248Torsion of the Wandering SpleenBaradaran HosseinFadaei-Araghi MohsenMatin ArashShakiba BehnamWandering spleen, defined as a spleen without its usual peritoneal attachments, is a rare entity. We report a 34-year-old woman with acute abdomen due to torsion of the long vascular pedicle of a wandering spleen, displaced in the abdominal cavity, and infarction of the spleen. Wandering spleen was diagnosed by ultrasound and computed tomography (CT) scan, and was managed by splenectomy in this patient. Wandering spleen usually occurs in 20 to 40 years old women. The most common presentation is acute abdominal pain, although signs and symptoms vary widely. Due to the risk of splenic infarction, rapid and accurate diagnosis is essential. A confirmatory diagnosis of a wandering spleen depends heavily upon imaging studies such as abdominal ultrasound, abdominal and pelvic CT scanning, nuclear scintigraphy or a liver-spleen scan. Treatment options include splenopexy or splenectomy.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/14484.pdf&manuscript_id=14484Wandering Spleentorsionabdominal pain
spellingShingle Baradaran Hossein
Fadaei-Araghi Mohsen
Matin Arash
Shakiba Behnam
Torsion of the Wandering Spleen
Acta Medica Iranica
Wandering Spleen
torsion
abdominal pain
title Torsion of the Wandering Spleen
title_full Torsion of the Wandering Spleen
title_fullStr Torsion of the Wandering Spleen
title_full_unstemmed Torsion of the Wandering Spleen
title_short Torsion of the Wandering Spleen
title_sort torsion of the wandering spleen
topic Wandering Spleen
torsion
abdominal pain
url http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/14484.pdf&manuscript_id=14484
work_keys_str_mv AT baradaranhossein torsionofthewanderingspleen
AT fadaeiaraghimohsen torsionofthewanderingspleen
AT matinarash torsionofthewanderingspleen
AT shakibabehnam torsionofthewanderingspleen