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Splenoptosis in young female, case report.
Etienne El-Helou1, Mersad Alimoradi1, Hassan Sabra1
1General Surgery Department, Faculty of Medical Sciences, Lebanese University, Mount Lebanon, Lebanon.
International Journal of Surgery Case Reports
|November 10, 2020
Summary
Splenoptosis, or a wandering spleen, can cause acute abdominal pain due to pedicle torsion. This rare condition requires surgical intervention, often splenectomy, and should be considered in differential diagnoses.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Medical Imaging
Background:
- Splenoptosis is the abnormal displacement of the spleen from its normal anatomical position.
- It results from weakened or absent splenic ligaments, leading to spleen migration within the abdominal cavity.
- Diagnosis can be incidental or symptomatic, with surgery being the definitive treatment.
Observation:
- A 17-year-old female presented with acute suprapubic abdominal pain.
- Initial ultrasound revealed a suspected right pelvic mass.
- Further investigation identified a wandering spleen with associated pedicle torsion.
Findings:
- The patient's condition was diagnosed as splenoptosis with pedicle torsion.
- Surgical management involved splenectomy.
- This case highlights a rare cause of acute abdominal pain.
Implications:
- Physicians should consider splenoptosis in the differential diagnosis of unexplained abdominal pain.
- Awareness of this condition can lead to earlier diagnosis and appropriate management.
- Prompt surgical intervention is crucial for symptomatic splenoptosis, particularly with torsion.
