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Splenic Torsion From a Wandering Spleen
Rachel M Hernandez1, Benjamin J Duddy1, Kyle J Iverson1
1General Surgery, Keesler Medical Center, Biloxi, USA.
Cureus
|October 15, 2024
Summary
Wandering spleen torsion is a rare surgical emergency. Prompt diagnosis and splenectomy can preserve health and prevent splenic infarction in affected individuals.
Area of Science:
- Surgical Case Report
- Abdominal Surgery
- Pediatric Surgery
Background:
- Wandering spleen is a rare condition characterized by splenic hypermobility.
- Splenic torsion is the most common complication, leading to surgical emergencies.
- Early diagnosis and intervention are crucial for preserving spleen function.
Observation:
- A 23-year-old male presented with a midline abdominal mass.
- Imaging revealed a wandering spleen with vascular pedicle torsion.
- The patient had a history of duodenal atresia.
Findings:
- Exploratory laparotomy confirmed splenic infarction due to torsion.
- A splenectomy was performed to address the condition.
- The patient recovered well post-surgery.
Implications:
- This case highlights the importance of recognizing wandering spleen and its complications.
- Timely surgical management is essential for favorable outcomes.
- Patients can return to normal activities after splenectomy.
