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The wandering spleen.

C Vermylen, P Lebecque, D Claus

    European Journal of Pediatrics
    |April 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Wandering spleen, a rare pediatric condition, presents as abdominal pain and masses. Early diagnosis via imaging and prompt splenectomy ensure good outcomes for affected children.

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    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Radiology

    Background:

    • Wandering spleen is a rare condition characterized by the spleen's abnormal mobility due to congenital absence or laxity of its supporting ligaments.
    • This increased mobility can lead to splenic torsion, infarction, or a palpable abdominal mass, often presenting with abdominal pain in children.

    Observation:

    • Two pediatric cases of wandering spleen are presented, both admitted for abdominal pain.
    • Physical examination revealed a palpable abdominal mass in the left hypochondrium in one patient and a firm mid-abdominal mass in the other.
    • One patient experienced a sudden onset of symptoms, while the other had a recurrent episode.

    Findings:

    • Wandering spleen should be considered in the differential diagnosis of pediatric abdominal masses.

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  • Ultrasonography and isotopic scans are valuable diagnostic modalities for identifying wandering spleen.
  • The underlying cause is the absence or attenuation of the splenorenal ligament, leading to increased splenic hilum mobility.

    • Implications:

    • Prompt diagnosis and surgical intervention, such as splenectomy, are crucial for managing symptomatic wandering spleen.
    • Surgical management in these cases resulted in an uneventful recovery for both pediatric patients.
    • Awareness of this condition is important for clinicians managing pediatric abdominal pain and masses.