Torsion of Dystopic Spleen – Possible Solutions
Authors:
M. Šudák 1,2; P. Drahovský
Authors place of work:
1. oddelenie detskej chirurgie DFN Košice, Slovenská republika, prim. MUDr. P. Drahovský
1; I. chirurgická klinika LF UPJŠ a UNLP Košice, Slovenská republika, prednosta: prof. MUDr. J. Radoňak, CSc.
2
Published in the journal:
Rozhl. Chir., 2011, roč. 90, č. 12, s. 701-704.
Category:
Monothematic special - Original
Summary
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.
Key words:
dystopic spleen – torsion – wandering spleen – splenectomy – splenopexy
Zdroje
1. Ben Ely, A., Seguier, E., Lotan, G. Familial wandering spleen: a first instance. Journal of Pediatric Surgery, 2008; 43: E23–E25.
2. Corsi, A., Summa, A., Filippo, M., et al. Acute abdomen in torsion of accessory spleen. European Journal of Radiology Extra, 2007; 64: 15–17.
3. Di Crosta, I., Inserra, A., Gil, C. P., et al. Abdominal pain and wandering spleen in young children: the importance of an early diagnosis. Journal of Pediatric Surgery, 2009; 44: 1446–1449.
4. Fiquet-Francois, C., Belouadah, M., Ludot, H., et al. Wandering spleen in children: multicenter retrospective study. Journal of Pediatric Surgery, 2010; 45: 1519–1524.
5. Impellizzeri, P., Montalto, A. S., Borruto, F. A., et al. Accessory spleen torsion: rare cause of acute abdomen in children and review of literature. Journal of Pediatric Surgery, 2009; 44: E15–E18.
6. Misawa, T., Yoshida, K., Shiba, H. Wandering spleen with chronic torsion. The American Journal of Surgery, 2008; 195: 504–505.
7. Nováková, B., Cibur, P., Kolesár, E., et al. Ložiskové nálezy na slezine pri ultrazvukovom vyšetrení mladých športujúcich. Detský lekár, 2008; 15: 44–46.
8. Rasheed, B., Ahmedb, F., Iqbala, Z., et al. Wandering spleen with tortion leading to infarction. European Journal of Radiology Extra, 2011; 77: E5–E7.
9. Singla, V., Poornachandra, K. S., Dutta, U., et al. Wandering spleen presenting as bleeding gastric varices. American Journal of Emergency Medicine, 2008; 26: 637.E1–637.E4.
10. Soleimani, M., Mehrabi, A., Kahfi, A., et al. Surgical treatment of patients with wandering spleen: Report of six cases with review of the literature. Surg Today, 2007; 37: 261–269.
11. Špindlerová, A., Táborská, J., Kasal, E. Nebezpečí bakteriálních infekcí u splenektomovaných nemocných. Praktický Lékař, 1997; 77: 576–577.
12. Upadhyaya, P., Peter, S. D. St., Holcomb III, G. W. Laparoscopic splenopexy and cystectomy for an enlarged wandering spleen and splenic cyst. Journal of Pediatric Surgery, 2007; 42: E23–E27.
13. Vrzgula, A., Závacký, P., Bober, J., et al. Laparoskopická splenektómia v našom klinickom materiáli doplnená kazuistikou (dystopická slezina). Miniinvazívna chirurgia a endoskopia, 2009; 2: 11–15.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
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