Related Experiment Video
Updated: Jul 9, 2026
02:09
Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
Wandering spleen with chronic torsion
Takeyuki Misawa1, Kazuhiko Yoshida, Hiroaki Shiba
1Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-ku, Tokyo 105-8461, Japan. take-misawa@jikei.ac.jp
American Journal of Surgery
|December 12, 2007
Summary
Wandering spleen, a rare condition, was diagnosed in a young woman using CT scans. Surgical removal (splenectomy) was necessary due to complications like spleen torsion and enlarged spleen.
Area of Science:
- Radiology
- Surgical Pathology
Background:
- Wandering spleen is a rare condition with a high risk of splenic torsion and infarction.
- Preoperative diagnosis is crucial for appropriate management.
Observation:
- A 28-year-old woman presented with symptoms suggestive of wandering spleen.
- Computed tomography (CT) revealed the spleen was not in its usual location but appeared as a pelvic mass.
- CT also showed an enlarged spleen suspended by elongated and tortuous splenic vessels.
Findings:
- The patient was diagnosed with wandering spleen.
- She experienced symptomatic splenomegaly, hypersplenism, and chronic torsion.
- Laparoscopic splenectomy was performed due to the complications.
Implications:
- This case highlights the importance of advanced imaging like CT in diagnosing rare conditions such as wandering spleen.
- Prompt diagnosis and surgical intervention are vital to prevent severe complications like splenic infarction.
- Laparoscopic splenectomy offers a minimally invasive approach for managing symptomatic wandering spleen.
More Related Videos
Related Concept Videos
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
01:22Appendicitis-I: Introduction
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
01:20Cholecystitis
Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
01:19Ascites
DefinitionAscites is the buildup of fluid inside the peritoneal cavity. It occurs when fluid moves out of the vascular system faster than the peritoneal lymphatics can remove it. This fluid shift is most commonly seen in liver cirrhosis but can also appear in several other systemic disorders.EtiologyCirrhosis remains the leading cause of ascites. Other conditions that can contribute include:Heart failureConstrictive pericarditisAbdominal cancersNephrotic syndromeSevere protein–calorie...
01:07Intestinal Obstruction II: Pathophysiology
Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
01:27Diverticular Disease of the Colon
Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...