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Related Concept Videos

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Related Experiment Video

Updated: Jul 5, 2026

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
05:06

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

Published on: March 27, 2026

Familial wandering spleen: a first instance.

Anna Ben Ely1, Emmanuelle Seguier, Gad Lotan

  • 1Department of Diagnostic Imaging, Sackler Faculty of Medicine, Tel Aviv University, Assaf Harofeh Medical Center, Zrifin 70300, Israel. liogonky@yahoo.com

Journal of Pediatric Surgery
|May 20, 2008
PubMed
Summary

Acute torsion of a wandering spleen occurred in two sisters. Early diagnosis via computed tomography (CT) and surgical detorsion with splenopexy successfully preserved the spleen in both cases.

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Last Updated: Jul 5, 2026

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
05:06

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

Published on: March 27, 2026

Area of Science:

  • Pediatric Surgery
  • Abdominal Imaging
  • Surgical Innovation

Background:

  • Wandering spleen is a rare condition where the spleen is not fixed in its normal anatomical position.
  • Splenic torsion, a potential complication of wandering spleen, can lead to splenic infarction if not treated promptly.
  • Timely diagnosis and intervention are crucial for spleen preservation.

Observation:

  • Two sisters presented with acute torsion of a wandering spleen within a three-year period.
  • Computed tomography (CT) accurately diagnosed the condition preoperatively in both patients.
  • A prior splenectomy in the first sister heightened suspicion, facilitating early diagnosis in the second.

Findings:

  • Urgent surgical exploration revealed reversible ischemic changes in the spleen.
  • Detorsion of the twisted splenic pedicle was performed.
  • Splenopexy, the surgical fixation of the spleen, was successfully employed to prevent recurrence.

Implications:

  • This case series highlights the importance of a high index of suspicion for wandering spleen torsion, especially in familial cases.
  • Computed tomography is a valuable tool for preoperative diagnosis, guiding surgical management.
  • Successful spleen preservation through detorsion and splenopexy offers a viable alternative to splenectomy, preserving splenic function.