|
KMID : 0605920080140020183
|
|
Journal of Korean Association of Pediatric Surgeons
2008 Volume.14 No. 2 p.183 ~ p.188
|
|
|
Splenic Infarction due to Torsion of Wandering Spleen: A Case Report
|
|
Kim Hye-Jin
Choe Byung-Ho
Park Jin-Young
|
|
|
Abstract
|
|
|
|
Wandering spleen is very rare condition in children characterized by migration of the spleen from its normal position due to laxity or absence of the supporting splenic ligaments. We experienced a case of splenic infarction due to torsion of a wandering spleen in a 6-year-old boy who presented with fever, vomiting, and abdominal pain of 2 day’s duration. On physical examination, there was severe tenderness in the left upper quadrant of the abdomen. The plain abdominal radiograph showed marked colonic gaseous distension. Contrast-enhanced abdominal computed tomography scan showed decreased density of spleen in the normal position, consistent with infarction. At emergency laparotomy, a wandering spleen twisted 360degrees on its pedicle was found. Despite splenic detorsion, blood flow could not be restored. Splenectomy was therefore performed. The child was discharged 7 days after surgery without any complications.
|
|
|
KEYWORD
|
|
|
Wandering spleen, Splenic torsion, Child
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|