Sign In or Create an Account. Sign In. Advanced Search. Search Menu. Article Navigation. Close mobile search navigation Article Navigation. Volume 5. Article Contents Abstract. Case Presentation. Wandering spleen: a surgical enigma. Oxford Academic. Rohit Mehra. Sushila Chauhan. Rahul Pandey. Select Format Select format. Permissions Icon Permissions. Figure 1. Open in new tab Download slide. Figure 3. Google Scholar Crossref. Search ADS. Google Scholar PubMed. Issue Section:.
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Post hoc validation of a tool that accurately predicts the outcome of endoscopic therapy in Bouveret syndrome. Hence high degree of suspicion for this condition is the key to diagnosis. CT abdomen with contrast during her second episode of pancreatitis established the diagnosis in our patient with abnormal location of the spleen in the anteroinferior quadrant along with the elongation of the pancreatic tail in conjunction with splenic vessels. Management depends on the presentation with splenectomy reserved for those with evidence of splenic infarction secondary to torsion.
Splenopexy with splenic preservation is usually the choice for young patients without significant splenomegaly or evidence of splenic infarction as in our patient who eventually underwent elective splenopexy to fix the spleen in the normal location after the initial conservative management of acute pancreatitis. Wandering spleen as a cause of pancreatitis should be considered especially in children and young females who present with recurrent pancreatitis and without obvious causes for pancreatitis.
It is a very rare occurrence and probably subclinical in many cases as the inflammation only involves the tail of the pancreas and hence many might not seek medical attention. Nevertheless, the importance of recognition of this condition in those presenting with acute pancreatitis is paramount to prevent acute life-threatening complications in future with early surgical intervention. The authors declare that there are no conflicts of interest regarding the publication of this paper.
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Article of the Year Award: Outstanding research contributions of , as selected by our Chief Editors. Read the winning articles. Journal overview. Received 28 Apr Accepted 30 May Published 21 Jun Abstract Wandering spleen, as its name suggests, is a rare condition where the spleen wanders in the abdomen and is most commonly found in the inferior quadrant as a palpable mass.
Introduction Wandering spleen is a rare condition where the spleen is not found in its normal location. Case Presentation A year-old multiparous female presented to the Emergency Department with complaints of mild abdominal pain associated with nausea for two days.
Figure 1. Axial view CT of the abdomen showing elongated pancreatic tail. Wandering or ectopic spleen is a rarely diagnosed clinical entity. The nature of the illness is only recognized when complications have occurred and often diagnosed in an emergency setting. Wandering spleen: an overview. Curr Probl Diagn Radiol. In adulthood, the presentations vary from splenic incidentaloma to acute abdominal emergency or chronic gastrointestinal complaints. Due to the unspecific clinical features of abdominal pain, imaging modalities play a crucial role in diagnosing ectopic spleen.
Eur Radiol. J R Coll of Surg Edin. Google Scholar. Surg Gynecol Obstet. South Med J. Int J Radiol. Clin Radiol. Article Google Scholar. J Clin Ultrasound. Aust N Z J Surg. J Pediatr Surg. Steele RD: A torted pelvic spleen. Clin Pediatr Phila. Br J Surg. Download references. We would like to acknowledge the Radiology department at Wexham Park Hospital for providing their assistance in reporting the imaging.
You can also search for this author in PubMed Google Scholar. Correspondence to Aman Sharma. AS made substantial contributions to: conception, design, acquisition of data, analysis and interpretation of data and was involved in drafting the manuscript.
GS was involved in revising the manuscript critically for important intellectual content. Both authors read and approved the final manuscript. This article is published under license to BioMed Central Ltd. Reprints and Permissions. Sharma, A. A torted wandering spleen: a case report. J Med Case Reports 8, Download citation. Received : 25 November Accepted : 18 March Published : 01 May Anyone you share the following link with will be able to read this content:.
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