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Splenic torsion in a child with polysplenia and situs inversus: a very rare presentation
Manas R Dash1, Anand V Upasani1, Sudhir B Chandna1
1Department of Pediatric Surgery, Smt. NHL Municipal Medical College & Sheth Vadilal Sarabhai General Hospital, 36, Teenmurti Bunglows, Thaltej, Ahmedabad 380 054 India.
Abstract:
Polysplenia with situs inversus along with the torsion of spleen is a rare event. We report a case of a 12 year old child who presented with acute abdominal pain. There was an ill-defined mass in right hypochondrium and lumbar regions. The CT scan of abdomen revealed presence of multiple spleens with infarction of the largest spleen and features of complete dextroversion. Intraoperatively the infarcted spleen was found twisted around its vascular pedicle and removed.
