Splenic torsion mistaken for an ovarian cyst: a case report
Abstract Background Wandering spleen (or ectopic spleen) refers to a hyper-mobile spleen resulting in its displacement from the normal anatomical position to usually in the lower abdominal or pelvic cavity. While ultrasound is often the first radiological modality used, Computed Tomography (CT) show...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-04-01
|
| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-024-04502-6 |
| _version_ | 1797209358890696704 |
|---|---|
| author | Salaar Ahmed Shahid Iqbal Shariqa Batool Rizwan Khan |
| author_facet | Salaar Ahmed Shahid Iqbal Shariqa Batool Rizwan Khan |
| author_sort | Salaar Ahmed |
| collection | DOAJ |
| description | Abstract Background Wandering spleen (or ectopic spleen) refers to a hyper-mobile spleen resulting in its displacement from the normal anatomical position to usually in the lower abdominal or pelvic cavity. While ultrasound is often the first radiological modality used, Computed Tomography (CT) shows a clear picture and aides to reach a diagnosis. In circumstances where appropriate imaging modalities are not available, or the operator is inexperienced, diagnosis of wandering spleen can be missed. Case presentation A 22-nulligravida unmarried Sindhi female had presented to the Emergency Room (ER) with a 5-day history of intermittent severe lower abdominal pain. An ultrasound at a local practitioner had suggested an ovarian cyst. Ultrasound-pelvis and later CT scan at our facility reported an enlarged wandering spleen with torsion of its pedicle and infarction. Exploratory laparotomy with splenectomy was done. An enlarged wandering spleen was found with torsion of the splenic vein and thrombosed arterial supply from omentum wrapped over the mass. The patient developed thrombocytosis post-surgery but otherwise did well and was discharged after 2 days. Conclusion Splenic torsion secondary to a wandering spleen can be challenging to diagnose, especially in resource limited settings where ultrasound might be the only modality available. Timely diagnosis and proper intervention are key to saving the life and the spleen. |
| first_indexed | 2024-04-24T09:53:26Z |
| format | Article |
| id | doaj.art-993282c79d1346f3a372590a0d7e66ec |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-24T09:53:26Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-993282c79d1346f3a372590a0d7e66ec2024-04-14T11:17:28ZengBMCJournal of Medical Case Reports1752-19472024-04-011811510.1186/s13256-024-04502-6Splenic torsion mistaken for an ovarian cyst: a case report Salaar Ahmed0Shahid Iqbal1Shariqa Batool2Rizwan Khan3Medical College, Aga Khan UniversityMedical College, Aga Khan UniversityMedical College, Aga Khan UniversityDepartment of Surgery, Aga Khan UniversityAbstract Background Wandering spleen (or ectopic spleen) refers to a hyper-mobile spleen resulting in its displacement from the normal anatomical position to usually in the lower abdominal or pelvic cavity. While ultrasound is often the first radiological modality used, Computed Tomography (CT) shows a clear picture and aides to reach a diagnosis. In circumstances where appropriate imaging modalities are not available, or the operator is inexperienced, diagnosis of wandering spleen can be missed. Case presentation A 22-nulligravida unmarried Sindhi female had presented to the Emergency Room (ER) with a 5-day history of intermittent severe lower abdominal pain. An ultrasound at a local practitioner had suggested an ovarian cyst. Ultrasound-pelvis and later CT scan at our facility reported an enlarged wandering spleen with torsion of its pedicle and infarction. Exploratory laparotomy with splenectomy was done. An enlarged wandering spleen was found with torsion of the splenic vein and thrombosed arterial supply from omentum wrapped over the mass. The patient developed thrombocytosis post-surgery but otherwise did well and was discharged after 2 days. Conclusion Splenic torsion secondary to a wandering spleen can be challenging to diagnose, especially in resource limited settings where ultrasound might be the only modality available. Timely diagnosis and proper intervention are key to saving the life and the spleen.https://doi.org/10.1186/s13256-024-04502-6Wandering spleenOvarian cystSplenic torsionSplenectomy |
| spellingShingle | Salaar Ahmed Shahid Iqbal Shariqa Batool Rizwan Khan Splenic torsion mistaken for an ovarian cyst: a case report Journal of Medical Case Reports Wandering spleen Ovarian cyst Splenic torsion Splenectomy |
| title | Splenic torsion mistaken for an ovarian cyst: a case report |
| title_full | Splenic torsion mistaken for an ovarian cyst: a case report |
| title_fullStr | Splenic torsion mistaken for an ovarian cyst: a case report |
| title_full_unstemmed | Splenic torsion mistaken for an ovarian cyst: a case report |
| title_short | Splenic torsion mistaken for an ovarian cyst: a case report |
| title_sort | splenic torsion mistaken for an ovarian cyst a case report |
| topic | Wandering spleen Ovarian cyst Splenic torsion Splenectomy |
| url | https://doi.org/10.1186/s13256-024-04502-6 |
| work_keys_str_mv | AT salaarahmed splenictorsionmistakenforanovariancystacasereport AT shahidiqbal splenictorsionmistakenforanovariancystacasereport AT shariqabatool splenictorsionmistakenforanovariancystacasereport AT rizwankhan splenictorsionmistakenforanovariancystacasereport |