[Splenic torsion as cause of acute abdomen in children]
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Neel Maria Helvind1, Ismail Gögenur, Morten Stadeager
1Center for Perioperativ Optimering, Gastroenheden, Herlev Hospital, Denmark. neelhe@stud.ku.dk
Abstract:
A six-year-old boy was admitted with symptoms consistent with acute appendicitis. Immediately before placement of the first trocar, a large abdominal mass was observed which on imaging was identified as a torsioned spleen. Due to suboptimal reperfusion and risk of reperfusion-mediated morbidity a splenectomy was performed. The recovery was uneventful. The child had a twin brother who on a routine ultrasound examination was found to have a normally positioned spleen. Challenges in diagnosis and treatment of children with splenic torsion is discussed.
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