Wandering spleen with torsion in pelvic: A case report and literature review.
| Title: | Wandering spleen with torsion in pelvic: A case report and literature review. |
|---|---|
| Authors: | Truong NX; Department of Radiology, Bac Giang General Hospital, Bac Giang, Vietnam.; Dung LT; Department of Radiology, Viet Duc University Hospital, Hanoi, Vietnam.; Department of Radiology, University of Medicine and Pharmacy (VNU-UMP), Vietnam National University, Hanoi, Vietnam.; Van Thu N; Department of Radiology, Bac Giang General Hospital, Bac Giang, Vietnam.; Giang HT; Department of Radiology, Bac Giang General Hospital, Bac Giang, Vietnam.; Van Hieu N; Department of Radiology, Bac Giang General Hospital, Bac Giang, Vietnam.; Van Hung N; Department of Radiology, Bac Giang General Hospital, Bac Giang, Vietnam.; Hoai NV; Department of Radiology, Duc Giang General Hospital, Hanoi, Vietnam.; Chung NH; Department of Radiology, University of Medicine and Pharmacy (VNU-UMP), Vietnam National University, Hanoi, Vietnam.; Loc TQ; Department of Radiology, Viet Duc University Hospital, Hanoi, Vietnam.; Department of Radiology, University of Medicine and Pharmacy (VNU-UMP), Vietnam National University, Hanoi, Vietnam. |
| Source: | Radiology case reports [Radiol Case Rep] 2025 Jan 14; Vol. 20 (4), pp. 1791-1794. Date of Electronic Publication: 2025 Jan 14 (Print Publication: 2025). |
| Publication Type: | Case Reports; Journal Article |
| Language: | English |
| Journal Info: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101467888 Publication Model: eCollection Cited Medium: Print ISSN: 1930-0433 (Print) Linking ISSN: 19300433 NLM ISO Abbreviation: Radiol Case Rep Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Publication: 2015-: Amsterdam : Elsevier; Original Publication: Seattle, WA : University of Washington, 2006- |
| Abstract: | Wandering spleen, caused by elongation or maldevelopment of the splenic ligaments, is a rare developmental disorder with a prevalence of 0.2 %. It occurs primarily in children under one year or adult women of reproductive age. Clinical manifestations are highly variable, ranging from asymptomatic cases to acute abdominal symptoms such as persistent abdominal pain and vomiting, often due to splenic torsion. Because clinical symptoms are nonspecific, diagnostic imaging is crucial, with computed tomography key to confirming the diagnosis. Conventional treatment involves spleen fixation unless there is splenic infarction, in which case splenectomy should be considered. We report the case of a 13-year-old female patient who was admitted to the hospital with acute abdominal pain, accompanied by vomiting and fever, without signs of shock. Ultrasound and computed tomography revealed splenic torsion, which was confirmed during laparoscopic surgery, and the patient subsequently underwent splenectomy. One week after surgery, the patient was discharged from the hospital in stable condition.; (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.) |
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| Contributed Indexing: | Keywords: CT scan; Torsion; Ultrasound; Wandering spleen |
| Entry Date(s): | Date Created: 20250203 Latest Revision: 20250204 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11782806 |
| DOI: | 10.1016/j.radcr.2024.12.047 |
| PMID: | 39897739 |
| Database: | MEDLINE |
Case Reports; Journal Article