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Related Experiment Video

Updated: Jun 12, 2026

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
02:09

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions

Published on: December 20, 2024

Splenic torsion: a case report.

M Hussain1, R Deshpande, S T R Bailey

  • 1Department of Surgery, Maidstone Hospital, Maidstone, UK. muddassarhussain@doctors.org.uk

Annals of the Royal College of Surgeons of England
|June 10, 2010
PubMed
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Splenic torsion, a rare cause of abdominal pain, can occur even with a normally positioned spleen. This case highlights the diagnostic and surgical considerations for this uncommon condition.

Area of Science:

  • Gastroenterology
  • Abdominal Surgery

Background:

  • Splenic torsion is a rare surgical emergency, often associated with congenital anomalies of splenic suspensory ligaments.
  • Predisposition can arise from abnormal development of these ligaments, though torsion can occur in normally positioned spleens.

Observation:

  • A 73-year-old woman presented with acute, severe left-upper quadrant abdominal pain.
  • Enhanced computed tomography (CT) revealed an unenhancing spleen, indicative of compromised blood flow.
  • The patient underwent an emergency laparotomy and splenectomy due to 360-degree splenic torsion.

Findings:

  • Splenic torsion is an infrequent cause of abdominal pain, with a reported incidence of less than 0.2% in wandering spleens.
  • Diagnosis is typically achieved through imaging modalities such as color Doppler ultrasonography or enhanced CT scans.

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Last Updated: Jun 12, 2026

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
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Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions

Published on: December 20, 2024

Robot-assisted Partial Splenectomy
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Robot-assisted Partial Splenectomy

Published on: January 2, 2026

  • Surgical intervention aims for spleen preservation when clinically feasible, though splenectomy may be necessary.

    • Implications:

    • This case expands the understanding of splenic torsion, demonstrating its occurrence in spleens with normal anatomical positioning.
    • Highlights the importance of prompt diagnosis and appropriate surgical management for acute splenic torsion.
    • Emphasizes the need for considering splenic torsion in the differential diagnosis of acute abdominal pain, even in atypical presentations.