AI Article Synopsis
- Wandering spleen is a rare condition where the spleen loses its typical attachments in the body, leading to its hypermobility and potential torsion of the splenic pedicle.
- There is an unusual connection between wandering spleen and gastric volvulus due to shared embryological development, though cases of both occurring together are very rare.
- A case involving a young female with acute abdominal pain revealed an unusual triad of conditions, including intrathoracic gastric volvulus and an ectopic spleen, leading to emergency surgery where both the spleen and stomach were fixed in place.
Article Abstract
Context: Wandering spleen is a rare medical entity in which the spleen is orphaned of its usual peritoneal attachments and thus assumes an ever wandering and hypermobile state. This laxity of attachments may even cause torsion of the splenic pedicle. Both gastric volvulus and wandering spleen share a common embryology owing to maldevelopment of the dorsal mesentery. Gastric volvulus complicating a wandering spleen is, however, an extremely unusual association, with a few cases described in literature.
Case Report: We present a case of a young female who presented with acute abdominal pain and vomiting. Radiological imaging revealed a intrathoracic gastric volvulus, torsion in an ectopic spleen, and additionally demonstrated a pancreatic volvulus - an unusual triad, reported only once, causing an acute abdomen.
Conclusion: The patient subsequently underwent an emergency surgical laparotomy with splenopexy and gastropexy.
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| http://dx.doi.org/10.6092/1590-8577/2905 | DOI Listing |
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