Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
권호 표지

Splenic Infarction due to Torsion of Wandering Spleen - A Case Report -

유주 비장의 염전에 의한 비장 경색 - 1예 보고 -

  • Kim, Hye-Jin (Department of Surgery, School of Medicine, Kyungpook National University) ;
  • Choe, Byung-Ho (Department of Pediatric, School of Medicine, Kyungpook National University) ;
  • Park, Jin-Young (Department of Surgery, School of Medicine, Kyungpook National University)
  • 김혜진 (경북대학교 의과대학 외과학교실) ;
  • 최병호 (경북대학교 의과대학 소아과학교실) ;
  • 박진영 (경북대학교 의과대학 외과학교실)
  • Received : 2008.11.24
  • Accepted : 2008.12.26
  • Published : 2008.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

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 $360^{\circ}$ 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.

Keywords