Splenorenal Collaterals as Hallmark for a Twisted Wandering Spleen in a 14-Year-Old Girl with Abdominal Pain: A Case Report
Abstract Wandering spleen is a rare cause of acute or chronic recurrent abdominal pain with a risk of splenic torsion and infarction. We describe a case of a 14-year-old girl with chronic recurrent abdominal pain with a palpable spleen in normal position on the initial physical examination. Laborato...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2014-03-01
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| Series: | European Journal of Pediatric Surgery Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1370776 |
| _version_ | 1819168787895681024 |
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| author | Rashidi Rellum Gerard Risseeuw Ivo de Blaauw Maarten Lequin |
| author_facet | Rashidi Rellum Gerard Risseeuw Ivo de Blaauw Maarten Lequin |
| author_sort | Rashidi Rellum |
| collection | DOAJ |
| description | Abstract
Wandering spleen is a rare cause of acute or chronic recurrent abdominal pain with a risk of splenic torsion and infarction. We describe a case of a 14-year-old girl with chronic recurrent abdominal pain with a palpable spleen in normal position on the initial physical examination. Laboratory findings were normal. A normal blood flow was seen on the initial (color Doppler) sonography. Magnetic resonance imaging showed an enlarged spleen in the pelvic region with torsion of hilar pedicle and splenorenal collaterals. Semielective, a laparoscopic splenopexy was performed without complications. A twisted wandering spleen should be included in the differential diagnosis of recurrent abdominal pain despite possible normal positioning of the spleen. The presence of splenorenal collaterals on imaging techniques can be used as a diagnostic hallmark. |
| first_indexed | 2024-12-22T19:09:10Z |
| format | Article |
| id | doaj.art-6dc50e62ca0a4fe19eafaab02388d8f1 |
| institution | Directory Open Access Journal |
| issn | 2194-7619 2194-7627 |
| language | English |
| last_indexed | 2024-12-22T19:09:10Z |
| publishDate | 2014-03-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | European Journal of Pediatric Surgery Reports |
| spelling | doaj.art-6dc50e62ca0a4fe19eafaab02388d8f12022-12-21T18:15:43ZengGeorg Thieme Verlag KGEuropean Journal of Pediatric Surgery Reports2194-76192194-76272014-03-01020102602810.1055/s-0034-1370776Splenorenal Collaterals as Hallmark for a Twisted Wandering Spleen in a 14-Year-Old Girl with Abdominal Pain: A Case ReportRashidi Rellum0Gerard Risseeuw1Ivo de Blaauw2Maarten Lequin3Department of Internal Medicine, Sint Franciscus Gasthuis, Rotterdam, The NetherlandsDepartment of Radiology, Ruwaard van Putten Hospital, Spijkenisse, The NetherlandsDepartment of Pediatric Surgery, Radboud Medical Centre, Nijmegen, The NetherlandsDepartment of Radiology, Sophia Childrens Hospital, Rotterdam, The NetherlandsAbstract Wandering spleen is a rare cause of acute or chronic recurrent abdominal pain with a risk of splenic torsion and infarction. We describe a case of a 14-year-old girl with chronic recurrent abdominal pain with a palpable spleen in normal position on the initial physical examination. Laboratory findings were normal. A normal blood flow was seen on the initial (color Doppler) sonography. Magnetic resonance imaging showed an enlarged spleen in the pelvic region with torsion of hilar pedicle and splenorenal collaterals. Semielective, a laparoscopic splenopexy was performed without complications. A twisted wandering spleen should be included in the differential diagnosis of recurrent abdominal pain despite possible normal positioning of the spleen. The presence of splenorenal collaterals on imaging techniques can be used as a diagnostic hallmark.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1370776wanderingspleentorsion |
| spellingShingle | Rashidi Rellum Gerard Risseeuw Ivo de Blaauw Maarten Lequin Splenorenal Collaterals as Hallmark for a Twisted Wandering Spleen in a 14-Year-Old Girl with Abdominal Pain: A Case Report European Journal of Pediatric Surgery Reports wandering spleen torsion |
| title | Splenorenal Collaterals as Hallmark for a Twisted Wandering Spleen in a 14-Year-Old Girl with Abdominal Pain: A Case Report |
| title_full | Splenorenal Collaterals as Hallmark for a Twisted Wandering Spleen in a 14-Year-Old Girl with Abdominal Pain: A Case Report |
| title_fullStr | Splenorenal Collaterals as Hallmark for a Twisted Wandering Spleen in a 14-Year-Old Girl with Abdominal Pain: A Case Report |
| title_full_unstemmed | Splenorenal Collaterals as Hallmark for a Twisted Wandering Spleen in a 14-Year-Old Girl with Abdominal Pain: A Case Report |
| title_short | Splenorenal Collaterals as Hallmark for a Twisted Wandering Spleen in a 14-Year-Old Girl with Abdominal Pain: A Case Report |
| title_sort | splenorenal collaterals as hallmark for a twisted wandering spleen in a 14 year old girl with abdominal pain a case report |
| topic | wandering spleen torsion |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1370776 |
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