Vol 77, No 2 (2018)
Case report
Published online: 2017-10-17

open access

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Wandering spleen: a unique cause of acute abdomen

H. Hui Lian1, F. Hayati1, A.A. Ali2, N. Azizan3, M.F. Che Ani4, M.A. Suhaili2, A.D. Zakaria5
Pubmed: 29064546
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)

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