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"Splenic torsion"

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[English]
Splenic Infarction due to Torsion of Wandering Spleen: A Case Report
Hyejin Kim, Byung Ho Choe, Jinyoung Park
J Korean Assoc Pediatr Surg 2008;14(2):183-188.   Published online December 31, 2008
DOI: https://doi.org/10.13029/jkaps.2008.14.2.183

Wandering spleen is very rare condition in children characterized by migration of the spleen from its normal position due to laxity or absence of the supporting splenic ligaments. We experienced a case of splenic infarction due to torsion of a wandering spleen in a 6-year-old boy who presented with fever, vomiting, and abdominal pain of 2 day's duration. On physical examination, there was severe tenderness in the left upper quadrant of the abdomen. The plain abdominal radiograph showed marked colonic gaseous distension. Contrast-enhanced abdominal computed tomography scan showed decreased density of spleen in the normal position, consistent with infarction. At emergency laparotomy, a wandering spleen twisted 360° on its pedicle was found. Despite splenic detorsion, blood flow could not be restored. Splenectomy was therefore performed. The child was discharged 7 days after surgery without any complications.

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