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KMID : 0978820050080010031
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2005 Volume.8 No. 1 p.31 ~ p.34
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Laparoscopic Splenectomy for the Treatment of Wandering Spleen -A Case Report-
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우희두/Woo HD
김형철/조규석/주종우/이효원/송옥평/신은아/고은석/박성진/이혜경/Kim HC/Cho GS/Chu CW/Lee HW/Song OP/Shin EA/Koh ES/Park SJ/Lee HK
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Abstract
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Wandering spleen is a rare clinical radiologic entity characterized by splenic hypermobility due to maldevelopment or abdominal laxity of the splenic suspensory ligaments. The cause for hypermobility may be failure of fusion of the dorsal mesogastrium or hormonal changes during pregnancy. Wandering spleen is most often diagnosed in children or women between the ages of 20 and 40 years. The patients are usually asymptomatic, present with a movable mass in the abdomen, or present with acute, chronic, or intermittent symptoms due to torsion of the wandering spleen. We experienced a case with acute splenic infarction in a young emale who was diagnosedpreoperatively. Intraoperatively, normal ligamentous connections between the stomach, spleen, and posterior abdominal wall were not found. Laparoscopic splenectomy was performed. To our knowledge, this is the first reported case in which laparoscopic splenectomy was performed in wandering spleen in Korea. Therefore, we report this case with a brief review of literature.
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