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Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
377
Splenic Torsion Following Blunt Abdominal Trauma
Piotr Tomasz Arkuszewski1, Agata Grochowska2, Wiktoria Jachymczak2
1Department of Biomedicine and Experimental Surgery, Faculty of Medicine, Medical University of Łódź, Narutowicza 60, 90-136 Łódź, Poland.
Journal of Clinical Medicine
|July 29, 2025
Summary
Traumatic splenic torsion is a rare injury, often affecting young people after accidents. Diagnosis relies on imaging, and surgical intervention is typically required, sometimes preserving the spleen.
Area of Science:
- Medical Case Studies
- Trauma Surgery
- Diagnostic Imaging
Background:
- Splenic torsion is a recognized clinical issue.
- Post-traumatic splenic torsion is a rare subset requiring surgical intervention.
- Symptoms typically include abdominal pain, with diagnosis aided by imaging (ultrasound, CT, MRI).
Purpose of the Study:
- To analyze clinical characteristics, diagnostic methods, and outcomes of traumatic splenic torsions.
- To investigate the role of imaging and histopathology in diagnosing these injuries.
- To identify predisposing factors for post-traumatic splenic torsion.
Main Methods:
- Desk research methodology was employed.
- Database searches were conducted using keywords: "splenic torsion", "torsion", "spleen", and "traumatic".
- Eight case studies of traumatic splenic torsion were included in the analysis.
Main Results:
- Eight cases (4 male, 4 female, average age 16.25) were analyzed.
- Traffic accidents were the most common cause (5 cases).
- Preoperative diagnosis was achieved in 5 of 7 confirmed cases; 7 patients underwent splenectomy, 1 had spleen-preserving surgery.
- Histopathology confirmed splenic infarction in only 1 of 2 cases.
Conclusions:
- Post-traumatic splenic torsion is an atypical injury, not primarily causing direct organ damage.
- Young individuals are predominantly affected.
- A "wandering spleen" appears to be a key predisposing factor for splenic torsion following blunt trauma.
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