[A rare complication of splenic torsion in a child]

A 13-year-old girl with a clinical picture of severe peritonitis was subjected to emergency operation upon 18 h since the symptoms onset. Laparotomy which detected a 360 degree torsion of the spleen with necrosis and perforation in the fundus of the stomach was followed by splenectomy and suture of the perforation. The patient's death occurred 17 h after the surgical treatment in progressive cardiovascular, renal and hepatic insufficiency and associated DIC syndrome. Specific blood supply to the organs is considered the underlying cause of gastric necrosis in relevant case of splenic torsion.