[Torsion of dystopic spleen--possible solutions].

Abstract

Early diagnosis the torsion of wandering spleen and surgical intervention are necessary to preserve the spleen, because persistant torsion can lead to splenic infarction. We present two cases with torsion of wandering spleen and different disease process and result. Diagnosis was by ultrasonography and CT angiography found. The 7-year-old boy with recurrent abdominal pain was admitted early and operated with spleenpreserving splenopexy. The 8-year-old girl with acute torsion of a wandering spleen was sent of after an initial misdiagnosis too late. Patient was managed by urgent laparotomy and splenectomy, because of splenic vessels thrombosis and splenic infarction. No complications occurred during two year postoperative follow up period of both patients.

• Authors: M Sudák, P Drahovský
• Journal: Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti (Rozhl Chir) Vol. 90 Issue 12 Pg. 701-4 (Dec 2011) ISSN: 0035-9351 [Print] Czech Republic
• Vernacular Title: Torzia dystopickej sleziny--moznosti riesenia.
• PMID: 22509658 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Child
• Female
• Humans
• Male
• Torsion Abnormality (complications, diagnosis, surgery)
• Wandering Spleen (complications, diagnosis, surgery)