Splenic torsion after congenital diaphragmatic hernia repair: case report and review of the literature.

Abstract

Wandering spleen with torsion, a rare clinical diagnosis, was found to be the cause of chronic abdominal pain in an 11-year-old female with a history of congenital diaphragmatic hernia repaired at three days of age. Doppler ultrasound revealed patent vessels with splenomegaly, and computed tomography (CT) showed an absence of the spleen in the left subphrenic space with torsion at the splenic hilum. Due to the chronicity of pain and risk of ischemia from torsion, open splenopexy with Vicryl mesh was performed. This case report/review of the literature discusses the rarity of this condition, and the importance of timely diagnosis and intervention.

• Authors: Anupama Mehta, Paul Geoffrey Vana, Loretto Glynn
• Journal: Journal of pediatric surgery (J Pediatr Surg) Vol. 48 Issue 3 Pg. e29-31 (Mar 2013) ISSN: 1531-5037 [Electronic] United States
• PMID: 23480945 (Publication Type: Case Reports, Journal Article, Review)
• Copyright: Copyright © 2013 Elsevier Inc. All rights reserved.

Topics

• Child
• Female
• Hernia, Diaphragmatic (surgery)
• Hernias, Diaphragmatic, Congenital
• Humans
• Postoperative Complications (diagnosis)
• Splenic Diseases (complications, diagnosis)
• Torsion Abnormality (complications, diagnosis)
• Wandering Spleen (complications, diagnosis)