Torsion of the Vascular Pedicle of A Wandering Spleen: An Unusual Cause of Intestinal Strangulation



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Submitted Mar 28, 2021
Published Apr 30, 2021
10.24018/clinicmed.2021.2.2.51

Abstract viewed = 209 times

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Ectopic spleen is a rare splenic malformation. Apart from torsion of the vascular pedicle, a common complication, an ectopic spleen could be responsible of an acute intestinal obstruction. We report a case of an 8-year-old girl who presented an acute abdomen, following of the transverse colon strangulation by the torsion of the vascular pedicle of a wandering spleen. The patients benefited a surgical opening into the abdomen who has been confirmed the diagnosis and made a detorsion of the vascular pedicle of spleen with splenopexy.
The interest of this case report lies on the rarity of a wandering spleen and on the unusual situation of transverse colon strangulation by the vascular pedicle of spleen.

Keywords: CT-scan intestinal obstruction torsion vascular pedicle wandering spleen

References

  1. Heba Taher, Mostafa Abdellatif, Mahmoud Tarek, Gamal El Tagy. Torsion of wandering spleen in an infant associated with hamartomatous vascular malformation. J Pediatr Surg Case Rep 2019;40:13–16.
     Google Scholar
  2. Alqadi GO, Saxena AK. Is laparoscopic approach for wandering spleen in children an option?. J Min Access Surg 2019;15:93-7.
     Google Scholar
  3. Germain M. Une torsion de rate baladeuse révélée par un syndrome subocclusif intestinal. Ann Afr Med 2018;11(4):e3051
     Google Scholar
  4. Kapan M, Gumus M‚ Onder A, Gumus H. A wandering spleen presenting as an acute abdomen: Case report. J Emerg Med 2012;43(5):e303-e305.
     Google Scholar
  5. Nwashilli JN, Ezeokenwa MO, Ukwuoma JK. Wandering spleen causing recurrent abdominal pain. Niger J Surg Sci 2015;25:37-40.
     Google Scholar
  6. Khalid E, Fatimazahra B, Rachid L, Abdelaziz F, Mohamed L, Nadia B et al.. Acute abdomen in a torsion of an ectopic spleen: report of a case. Pan Afr Med J 2012;11:62-62.
     Google Scholar
  7. Chen JW, Yeh DM., Peng SH, Chen GS, Tseng YH, Lin CW et al. Sonographic diagnosis of a subclinical wandering spleen: role of the decubitus position. J Ultrasound Med 2012;31(3):483-487.
     Google Scholar
  8. Rasheed B, Ahmed F, Iqbal Z, Babar S, Ahmed N. Wandering spleen with tortion leading to infarction. Europ J Radiol Extra 2011;77(1):5-7.
     Google Scholar
  9. Puglisi F, Potenza A, Melchionda M, Capuano P, De Fazio M, Lobascio P, Martines G, Lograno G. Wandering spleen as a cause of acute abdomen: a case report. Chir Ital 2005;57(3):373-375.
     Google Scholar
  10. Khan D B, Khandwala K, Abbasi S, et al. Torsion of Wandering Spleen with Infarction. Cureus 2018;10(8):e3177.
     Google Scholar
  11. Dème H, Akpo LG, Fall S, Badji N, Ka I, Guèye ML et al. Torsion chronique d’une rate baladeuse chez un adolescent: à propos d’un cas. Pan Afr Med J 2016;24(1).
     Google Scholar
  12. Ashok Kumar Puranik. Wandering spleen: a surgical enigma. Gastroenterol Rep 2017;5(3):241–243.
     Google Scholar
  13. Singla V, Galwa RP, Khandewal N, Poornachandra KS, Dutta U, Kochhar R. Wandering spleen presenting as bleeding gastric varices. Am J Emerg Med 2008;26(5):637.
     Google Scholar


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