Spleen Torsion and Infarct: Case Report
##plugins.themes.bootstrap3.article.details##
Spleen torsion is an uncommon clinical entity characterized by splenic hypermobility that results from laxity or abnormal development of the supporting ligaments of this organ. A wandering spleen is at risk of torsion of its vascular pedicle. This condition usually presents with symptoms ranging from acute disease, chronic or intermittent symptoms. This article presents the case of a 21 years old woman who consulted with acute abdominal pain, with a history of intermittent abdominal pain, whose imaging findings showed an abnormal anatomic position of the spleen associated with spleen infarction. Splenectomy was carried which confirmed fixation of the spleen only by the gastrosplenic ligament and twisted vascular pedicle.
bazo, enfermedades del bazo, ectopia del bazo, infarto del bazo, esplenomegalia, Spleen, splenic diseases, wandering spleen, splenic infarction, splenomegaly,
2. Brown CVR, Virgilio GR, Vasquez WD. Wandering spleen and its complications in children: a case series and review of the literature. J Pediatr Surg. 2003;38(11):1676-9.
3. Taori K, Ghonge N, Prakash A. Wandering spleen with torsion of vascular pedicle: early diagnosis with multiplanar reformation technique of multislice spiral CT. Abdom Imaging. 2004;29:479-81.
4. Herman TE, Siegel MJ. CT of acute splenic torsion in children with wandering spleen. AJR Am J Roentgenol. 1991; 156(1):151-3.
5. Erkalis AJ, Filler RM. Splenectomy in childhood: a review of 1413 cases. J Pediatric Surg. 1972;7:382-8.
6. Saadaoui H, Toppet VM, Hubloux G, Horth M, Cadiére GB, Spehl MR. Acute torsion of wandering spleen in a child: preoperative diagnosis by ultrasonography and computed tomography. Eur J Radiol. 1998;26(2):205-9.
7. Chawla S, Boal DKB, Dillon PW, Grenko RT. Splenic torsion. Radiographics. 2003;23:305-8.
8. Paterson A, Frush DP, Donnelly LF, Foss JN, O´Hara SM, Bisset III GS. A Pattern-oriented approach to splenic imaging in infants and children. Radiographics. 1999;19:1465-85.
9. Nemcek AA Jr, Miller FH, Fitzgerald SW. Acute torsion of a wandering spleen: diagnosis by CT and duplex doppler and color flow sonography. AJR Am J Roentgenol. 1991;157:307-9.