Introduction And Importance: Anatomical variation of the spleen's position in the abdomen, is a rare condition called Wandering Spleen (WS). WS is a vital differential diagnosis in patients presenting with acute abdomen and diagnosis should be made promptly to prevent development of serious complications.
Case Presentation: In this article, we report two cases of WS (27 and 20 years old females) presenting with abdominal pain due to splenic torsion. Both Patients underwent splenectomy and discharged with no further complications.
Clinical Discussion: The presentation of a wandering spleen varies from an asymptomatic mass to an acute abdomen due to torsion and splenic infarction, therefore recognition of this condition can be challenging. Diagnosis depends on imaging studies, and treatment options consist of performing either splenectomy or splenopexy.
Conclusion: Concerning the high incidence of splenic torsion and infarction in WS patients, early recognition of this condition and initiation of apt intervention is of great significance.
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http://dx.doi.org/10.1016/j.ijscr.2020.12.039 | DOI Listing |
Clin J Gastroenterol
December 2024
Department of General Surgical Science, Gunma University Graduate School of Medicine, 3-39-22 Showa-Machi, Maebashi, 371-8511, Japan.
Wandering spleen is a relatively rare condition and may be complicated by intestinal obstruction or abnormal intestinal rotation. Herein, we report a case where these three conditions appeared concomitantly. An 18-year-old woman with an intellectual disability was admitted to the hospital because of vomiting and fever.
View Article and Find Full Text PDFInt J Surg Case Rep
January 2025
Department of Pathology, Hawassa University Comprehensive Specialized Hospital, Hawassa, Sidama, Ethiopia. Electronic address:
Introduction And Importance: Wandering spleen, also known as ectopic spleen, is an uncommon disorder in which the spleen's anatomical location differs from its fixed position in the abdomen's left upper quadrant. The etiology is either congenital or acquired, possibly leading to torsion and splenic infarction. It affects children and young adults, especially childbearing-age women.
View Article and Find Full Text PDFCureus
October 2024
Multidisciplinary Breast Clinic - Gynecologic Oncology, Antwerp University Hospital, Edegem, BEL.
Intermittent severe abdominal pain is a medical emergency with multiple possible underlying causes. This case report describes a 30-year-old female experiencing severe pelvic pain alternating between the left and right lower abdomen. The pain was periodic and very intense.
View Article and Find Full Text PDFInt J Surg Case Rep
December 2024
College of Surgeons of East, Central, and Southern Africa, 157 Olorien, Njiro Road ECSA-HC, P.O.Box 1009, Arusha, Tanzania.
Background: Wandering spleen or hypermobile spleen results from the elongation or maldevelopment of the spleen's suspensory ligaments. Few cases have been reported worldwide, making it a rare clinical entity. It usually affects children, although it also commonly affects female adults in the reproductive age range.
View Article and Find Full Text PDFCureus
September 2024
General Surgery, Keesler Medical Center, Biloxi, USA.
Wandering spleen is a unique condition defined as a hypermobile spleen with a sole attachment to its vascular pedicle. The most common complication is torsion of the spleen, resulting in a surgical emergency. Early diagnosis and prevention of splenic infarction are the mainstays of treatment to help preserve immunologic function.
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