Acute Torsion of Wandering Spleen: Report of One Case

Wandering spleen is a rare condition that can lead to splenic infarction or rupture if torsion persists. Early diagnosis and intervention are necessary, and abdominal ultrasonography and abdominal computed tomography are well accepted as the most useful diagnostic imaging modalities. In this study,...

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Main Authors: Chi-Hone Lien, Hung-Chang Lee, Chun-Yan Yeung, Wai-Tao Chan, Nein-Lu Wang
Format: Article
Language:English
Published: Elsevier 2009-08-01
Series:Pediatrics and Neonatology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1875957209600590
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author Chi-Hone Lien
Hung-Chang Lee
Chun-Yan Yeung
Wai-Tao Chan
Nein-Lu Wang
author_facet Chi-Hone Lien
Hung-Chang Lee
Chun-Yan Yeung
Wai-Tao Chan
Nein-Lu Wang
author_sort Chi-Hone Lien
collection DOAJ
description Wandering spleen is a rare condition that can lead to splenic infarction or rupture if torsion persists. Early diagnosis and intervention are necessary, and abdominal ultrasonography and abdominal computed tomography are well accepted as the most useful diagnostic imaging modalities. In this study, we present a boy with splenic infarction due to acute torsion of a wandering spleen, after initial failure to demonstrate an ectopic spleen. Instead, acute torsion of the wandering spleen with spontaneous partial detorsion was incidentally found by multi-detector row CT with angiography. The patient was managed by splenectomy instead of splenopexy, because of poor reperfusion after laparoscopic detorsion.
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spelling doaj.art-b688a030338f47f5aecccf322420eeb12022-12-22T01:27:19ZengElsevierPediatrics and Neonatology1875-95722009-08-0150417718010.1016/S1875-9572(09)60059-0Acute Torsion of Wandering Spleen: Report of One CaseChi-Hone Lien0Hung-Chang Lee1Chun-Yan Yeung2Wai-Tao Chan3Nein-Lu Wang4Department of Pediatrics, Mackay Memorial Hospital, Hsin Chu Branch, TaiwanDepartment of Pediatrics, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Pediatrics, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Pediatrics, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Pediatric Surgery, Mackay Memorial Hospital, Taipei, TaiwanWandering spleen is a rare condition that can lead to splenic infarction or rupture if torsion persists. Early diagnosis and intervention are necessary, and abdominal ultrasonography and abdominal computed tomography are well accepted as the most useful diagnostic imaging modalities. In this study, we present a boy with splenic infarction due to acute torsion of a wandering spleen, after initial failure to demonstrate an ectopic spleen. Instead, acute torsion of the wandering spleen with spontaneous partial detorsion was incidentally found by multi-detector row CT with angiography. The patient was managed by splenectomy instead of splenopexy, because of poor reperfusion after laparoscopic detorsion.http://www.sciencedirect.com/science/article/pii/S1875957209600590high-resolution multiplanar reformatted imagesmultislice CTspleensplenic diseasewandering
spellingShingle Chi-Hone Lien
Hung-Chang Lee
Chun-Yan Yeung
Wai-Tao Chan
Nein-Lu Wang
Acute Torsion of Wandering Spleen: Report of One Case
Pediatrics and Neonatology
high-resolution multiplanar reformatted images
multislice CT
spleen
splenic disease
wandering
title Acute Torsion of Wandering Spleen: Report of One Case
title_full Acute Torsion of Wandering Spleen: Report of One Case
title_fullStr Acute Torsion of Wandering Spleen: Report of One Case
title_full_unstemmed Acute Torsion of Wandering Spleen: Report of One Case
title_short Acute Torsion of Wandering Spleen: Report of One Case
title_sort acute torsion of wandering spleen report of one case
topic high-resolution multiplanar reformatted images
multislice CT
spleen
splenic disease
wandering
url http://www.sciencedirect.com/science/article/pii/S1875957209600590
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