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Wandering splenomegaly reduction after splenopexy
Andy Petroianu1, Kelly Renata Sabino1
1Department of Surgery, School of Medicine, Federal University of Minas Gerais, Brazil.
International Journal of Surgery Case Reports
|August 14, 2021
Summary
Wandering spleen with torsion can cause splenomegaly. Surgical detorsion and splenopexy effectively reduced spleen size, resolving symptoms in a pediatric case.
Area of Science:
- Abdominal Surgery
- Pediatric Surgery
- Gastroenterology
Background:
- A wandering spleen exhibits excessive mobility due to ligament laxity, leading to migration and potential vascular pedicle torsion.
- This condition can result in symptomatic splenomegaly and complications like splenic torsion.
Purpose of the Study:
- To present a case of wandering splenomegaly with pedicle torsion.
- To demonstrate the effectiveness of splenic detorsion and splenopexy in reducing spleen size and resolving symptoms.
Main Methods:
- A 14-year-old boy with symptomatic pelvic wandering splenomegaly and pedicle torsion underwent laparotomy.
- The procedure involved detorsion of the spleen and splenopexy to the left diaphragm and surrounding peritoneum.
Main Results:
- The patient experienced an uneventful recovery and was discharged on postoperative day two with normalized laboratory results.
- Pre-operative spleen dimensions of 22 × 16 × 13 cm reduced to 14 × 12 × 10 cm post-surgery.
Conclusions:
- Splenic detorsion and splenopexy are effective treatments for ectopic congestive splenomegaly caused by splenic pedicle rotation.
- This surgical approach successfully reduces spleen size to normal, addressing the underlying pathology.
