Bairwa Banwari Lal, Gupta Shubham, Singh Aashik Kumar, Gupta Pratima
Department of minimal access and general surgery, MP Birla Hospital and Research Center, Chittorgarh, India.
Department of Medicine, DR. D. Y. Patil Medical College and Hospital, Kolhapur, India.
Arch Clin Cases. 2022 Jul 7;9(2):56-61. doi: 10.22551/2022.35.0902.10204. eCollection 2022.
Wandering spleen is a rare condition and defined as the spleen that is not in its normal anatomical position due to lack or laxity of suspensory ligaments. Etiological factors are congenital and acquired. Splenic torsion, infraction, and rupture are life-threatening complications of wandering spleen. A 14-year-old girl patient presented to the emergency department with severe pain abdomen for 2 days. On physical examination, a large palpable mass in the mid of the abdomen was found, and CECT confirmed it as torsion of wandering spleen. Emergency exploration is done and splenectomy was done due to non-viability of the spleen. The Post-op period was uneventful. Acute torsion of wandering spleen is an extremely rare clinical entity and patient present in an emergency with clinical features of acute abdomen. They may also present with chronic pain abdomen and abdominal mass. Early diagnosis is vital for the preservation of the spleen. Radiological studies have an important role in an accurate diagnosis. Surgery is the gold standard treatment of wandering spleen. Surgery for splenopexy or splenectomy depends on the condition of the spleen during surgery. Timely diagnosis and interventions are crucial to prevent life-threatening complications of wandering spleen.
游走脾是一种罕见疾病，定义为由于悬韧带缺失或松弛导致脾脏不在其正常解剖位置。病因包括先天性和后天性。脾扭转、梗死和破裂是游走脾的危及生命的并发症。一名14岁女性患者因严重腹痛2天就诊于急诊科。体格检查发现腹部中部可触及一个大肿块，CT增强扫描证实为游走脾扭转。进行了急诊探查，由于脾脏无活力，实施了脾切除术。术后恢复顺利。游走脾急性扭转是一种极其罕见的临床病症，患者以急腹症的临床特征急诊就诊。他们也可能表现为慢性腹痛和腹部肿块。早期诊断对于保留脾脏至关重要。影像学检查在准确诊断中起重要作用。手术是游走脾的金标准治疗方法。脾固定术或脾切除术的手术方式取决于手术中脾脏情况。及时诊断和干预对于预防游走脾危及生命的并发症至关重要。
