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Related Experiment Videos

Wandering spleen: a challenging diagnosis

D C Desai1, A Hebra, A M Davidoff

  • 1Department of Surgery, Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, USA.

Southern Medical Journal
|April 1, 1997
PubMed
Summary

Wandering spleen is a rare condition, especially in children, often presenting with abdominal pain. Surgical intervention, like splenopexy or splenectomy, is necessary to prevent complications.

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Area of Science:

  • Pediatric Surgery
  • Radiology
  • Abdominal Imaging

Background:

  • Wandering spleen is a rare congenital anomaly where the spleen is not fixed in its normal anatomical position.
  • It is uncommon in children, presenting diagnostic challenges due to nonspecific symptoms.

Observation:

  • Patients may present with an asymptomatic abdominal mass, acute abdomen, or a painful mass.
  • Diagnosis is often delayed due to the lack of specific symptoms, requiring advanced imaging.

Findings:

  • Computed tomography (CT) and duplex ultrasonography are preferred imaging modalities for diagnosis.
  • Treatment is surgical, with splenopexy being the preferred option for non-infarcted spleens.
  • Splenectomy is reserved for cases with evidence of splenic infarction after detorsion.

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Implications:

  • Prompt diagnosis and surgical management are crucial to avoid splenic infarction and other complications.
  • This review highlights surgical outcomes in pediatric cases, emphasizing the importance of appropriate treatment selection.
  • Understanding the diagnostic and therapeutic nuances of wandering spleen is vital for pediatric surgical practice.