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Case Reports
. 2010 Oct-Dec;16(4):288-91.
doi: 10.4103/1319-3767.70618.

Torsion of a wandering spleen

Hicham El Bouhaddouti  1 , Jihane Lamrani, Abdellatif Louchi, Mounia El Yousfi, Noureddine Aqodad, Adil Ibrahimi, Meriem Boubou, Imane Kamaoui, Siham Tizniti
Affiliations
Case Reports

Torsion of a wandering spleen

Hicham El Bouhaddouti et al. Saudi J Gastroenterol. 2010 Oct-Dec.

Abstract

Wandering spleen is a rare condition defined as a mobile spleen only attached with its pedicle. It can be complicated by a volvulus, which is a surgical abdominal emergency. Preventing infarction is the aim of a prompt surgery that can preserve the spleen and then proceed to splenopexy. We report a rare case of torsion of a wandering spleen associated with a dolichosigmoοd.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Abdominal radiography showed an important colon distention at the upper left quadrant without air fluid levels
Figure 2
Figure 2
Ultrasonography image demonstrated a whorl of concentric vessels in the region of splenic hilum. Note a spleen of ectopic position
Figure 3
Figure 3
Contrast enhanced abdominal CT in axial (a, b) and sagittal views (c, d) showed spleen vessels and surrounding fat forming a whirled appearance (arrows) at the spleen (star) hilum. The spleen is located below the level of the left kidney
Figure 4
Figure 4
Dolichosigmoid associated to the wandering spleen
Figure 5
Figure 5
Volvulus of the wandering spleen
See this image and copyright information in PMC

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