open access

Vol 77, No 2 (2018)
CASE REPORTS
Published online: 2017-10-17
Submitted: 2017-09-01
Accepted: 2017-10-15
Get Citation

Wandering spleen: a unique cause of acute abdomen

H. Hui Lian, F. Hayati, A.A. Ali, N. Azizan, M.F. Che Ani, M.A. Suhaili, A.D. Zakaria
DOI: 10.5603/FM.a2017.0097
·
Pubmed: 29064546
·
Folia Morphol 2018;77(2):400-402.

open access

Vol 77, No 2 (2018)
CASE REPORTS
Published online: 2017-10-17
Submitted: 2017-09-01
Accepted: 2017-10-15

Abstract

We present the case of a 16-year-old boy presented with 2-week episode of wor­sening lower abdominal pain. Clinically, there was a tender palpable mass on the suprapubic region. Ultrasonography showed an absent spleen at its usual area, instead suprapubic mass suggestive of ectopic spleen was identified. An emer­gency laparotomy revealed a congested spleen in the pelvic cavity. Splenectomy was undertaken as it was non-viable. The patient was discharged uneventfully with triple vaccinations. We describe this unique entity with its literature review. (Folia Morphol 2018; 77, 2: 400–402)

Abstract

We present the case of a 16-year-old boy presented with 2-week episode of wor­sening lower abdominal pain. Clinically, there was a tender palpable mass on the suprapubic region. Ultrasonography showed an absent spleen at its usual area, instead suprapubic mass suggestive of ectopic spleen was identified. An emer­gency laparotomy revealed a congested spleen in the pelvic cavity. Splenectomy was undertaken as it was non-viable. The patient was discharged uneventfully with triple vaccinations. We describe this unique entity with its literature review. (Folia Morphol 2018; 77, 2: 400–402)

Get Citation

Keywords

wandering spleen, pelvic spleen, torsion, ultrasound

About this article
Title

Wandering spleen: a unique cause of acute abdomen

Journal

Folia Morphologica

Issue

Vol 77, No 2 (2018)

Pages

400-402

Published online

2017-10-17

DOI

10.5603/FM.a2017.0097

Pubmed

29064546

Bibliographic record

Folia Morphol 2018;77(2):400-402.

Keywords

wandering spleen
pelvic spleen
torsion
ultrasound

Authors

H. Hui Lian
F. Hayati
A.A. Ali
N. Azizan
M.F. Che Ani
M.A. Suhaili
A.D. Zakaria

References (9)
  1. Badran DH, Kalbouneh HM, Al-Hadidi MT, et al. Ultrasonographic assessment of splenic volume and its correlation with body parameters in a Jordanian population. Saudi Med J. 2015; 36(8): 967–972.
  2. Cotes C, Swischuk LE. Left upper quadrant pain: upside down spleen. Pediatr Emerg Care. 2013; 29(9): 1009–1010.
  3. d'Amico A, Cofalik A, Przeorek C, et al. Role of nuclear medicine imaging in differential diagnosis of accessory spleens in patients after splenectomy. Pol J Radiol. 2012; 77(1): 68–71.
  4. D'altorio RA, Cano JY. Upside-down spleen as cause of suprarenal mass. Urology. 1978; 11(4): 422–424.
  5. Herman TE, Siegel MJ. CT of acute splenic torsion in children with wandering spleen. AJR Am J Roentgenol. 1991; 156(1): 151–153.
  6. Iqbal M, Tareen MA, Sohail U. Torsion of a wandering spleen presenting as a case of acute abdomen. J Coll Physicians Surg Pak. 2009; 19(2): 123–124.
  7. Palas J, Matos AP, Ramalho M. The spleen revisited: an overview on magnetic resonance imaging. Radiol Res Pract. 2013; 2013: 219297.
  8. Sayeed S, Koniaris L, Kovach S, et al. Torsion of a wandering spleen. Surgery. 2002; 132(3): 535–536.
  9. Zarroug AE, Hashim Y, El-Youssef M, et al. Wandering spleen as a cause of mesenteric and portal varices: a new etiology? J Pediatr Surg. 2013; 48(3): e1–e4.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By  "Via Medica sp. z o.o." sp.k., Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl