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Related Experiment Videos

Wandering spleen: anatomic and radiologic considerations.

K B Allen1, B B Gay, J E Skandalakis

  • 1Department of Surgery, Carlos Center for Surgical Anatomy and Technique, Emory University School of Medicine, Atlanta, GA 30322.

Southern Medical Journal
|October 11, 1992
PubMed
Summary

Wandering spleen is a rare condition, often missed in children. Ultrasonography is the most effective diagnostic tool, with splenopexy being the preferred treatment before complications arise.

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Area of Science:

  • Pediatric Surgery
  • Diagnostic Imaging
  • Abdominal Imaging

Background:

  • Wandering spleen is a rare congenital anomaly characterized by abnormal splenic mobility.
  • It presents diagnostic challenges, especially in pediatric patients, often mimicking other abdominal masses.
  • The condition arises from developmental anomalies of the supporting splenic ligaments.

Observation:

  • Two pediatric cases of wandering spleen presented as lower abdominal masses.
  • Various imaging modalities were considered, with ultrasonography identified as the most effective and least invasive.
  • Surgical anatomy of the spleen and its ligaments was reviewed in relation to the condition's etiology.

Findings:

  • Ultrasonography is the optimal imaging modality for diagnosing wandering spleen.

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  • Early diagnosis allows for elective splenopexy, the preferred surgical treatment.
  • Ligamentous abnormalities are hypothesized to be the primary cause of wandering spleen.

    • Implications:

    • Increased awareness and utilization of ultrasonography can improve the diagnosis of wandering spleen in children.
    • Prompt surgical intervention via splenopexy can prevent splenic infarction and associated complications.
    • Understanding splenic ligament anatomy is crucial for diagnosing and managing this rare condition.