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[Volvulus of the mobile spleen. Conservative laparoscopic treatment]
I Bittar1, J L Cohen Solal, P Cabanis
1Service de Chirurgie digestive, Centre Hospitalier Intercommunal de Créteil, 40, avenue de Verdun, F 94010 Créteil.
Background:
Volvulus of the mobile spleen is a rare condition generally manifested by acute sudden onset abdominal pain localized in the left flank. Ultrasound or computed tomographic imaging generally provides the diagnosis.
Case Report:
An 18-year-old patient was hospitalized for acute pain of the left flank that had begun 48 hours earlier. The abdominal scan visualized a volvulus of a mobile spleen. Laparoscopic distortion was successful, allowing normal recoloration of the spleen.
Discussion:
Rapid intervention is crucial for conservative treatment. Laparoscopic treatment allows distortion manoeuvres and splenopexia using a mesh. This is the first reported case of successful conservative laparoscopic treatment of volvulus of a mobile spleen.