Torsion of Dystopic Spleen – Possible Solutions

Česká verze

Authors: M. Šudák ^1,2; P. Drahovský
Authors place of work: 1. oddelenie detskej chirurgie DFN Košice, Slovenská republika, prim. MUDr. P. Drahovský ¹; I. chirurgická klinika LF UPJŠ a UNLP Košice, Slovenská republika, prednosta: prof. MUDr. J. Radoňak, CSc. ²
Published in the journal: Rozhl. Chir., 2011, roč. 90, č. 12, s. 701-704.
Category: Monotematický speciál - Původní práce

Summary

Early diagnosis the torsion of wandering spleen and surgical intervention are necessary to preserve the spleen, because persistant torsion can lead to splenic infarction. We present two cases with torsion of wandering spleen and different disease process and result. Diagnosis was by ultrasonography and CT angiography found. The 7-year-old boy with recurrent abdominal pain was admitted early and operated with spleenpreserving splenopexy. The 8-year-old girl with acute torsion of a wandering spleen was sent of after an initial misdiagnosis too late. Patient was managed by urgent laparotomy and splenectomy, because of splenic vessels thrombosis and splenic infarction. No complications occurred during two year postoperative follow up period of both patients.

Key words:
dystopic spleen – torsion – wandering spleen – splenectomy – splenopexy

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