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An infarcted wandering spleen leading to a sigmoid volvulus presenting with acute large bowel obstruction: a case

O Hamdy1, M Yousry1, G A Saleh1

  • 1Mansoura University, Mansoura, Egypt.

Annals of the Royal College of Surgeons of England
|March 8, 2021
PubMed

A wandering spleen is a very rare event characterised by the absence of the spleen in its anatomical position due to the hyperlaxity of its ligaments. We present a case of wandering spleen complicated by splenic vascular pedicle torsion, thrombosis and subsequent splenic infarction. Compression of the infarcted spleen on the rectosigmoid junction led to the development of a sigmoid volvulus, which presented as an acute large bowel obstruction. The patient underwent emergency laparotomy, splenectomy, sigmoid decompression and sigmoidopexy. After a follow-up period of two years, the volvulus had not recurred.

Keywords:
InfarctionIntestinal obstructionSigmoid volvulusWandering spleen

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