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Splenoptosis in young female, case report
- Source :
- International Journal of Surgery Case Reports
- Publication Year :
- 2020
- Publisher :
- Elsevier, 2020.
-
Abstract
- Highlights • The spleen is normally located in the left hypochondriac region just underneath the 9th to 11th intercostal spaces. • Splenoptosis, wandering spleen or floating spleen, is a rare entity in which the spleen migrates from its normal position. • The diagnosis is confirmed by imaging modalities. • The only definitive treatment is surgical intervention.<br />Background Splenoptosis is an uncommon disorder defined as the dislodgment of the spleen from its anatomical location in the left hypochondrium to another location in the intraabdominal cavity. This migration is the result of laxity or absence of the ligaments that fix the spleen to surrounding structures. Splenoptosis is either diagnosed after it causes symptoms, or incidentally using different imaging modalities. Surgery is the definite treatment either by splenopexy or splenectomy. Case presentation In the case presented here, we discuss a 17 years old female patient who presented to our institution for acute onset of abdominal pain, mainly suprapubic, occurring for 4 days. Ultrasound showed a suspicious right pelvic mass, which was found to be a wandering spleen with pedicle torsion. The patient was treated surgically by splenectomy. Conclusion We report this rare case to encourage physicians to keep this etiology in mind as part of the differential diagnosis of unspecific abdominal pain.
- Subjects :
- medicine.medical_specialty
Abdominal pain
ER, emergency room
medicine.medical_treatment
Splenectomy
03 medical and health sciences
0302 clinical medicine
Case report
medicine
Splenopexy
business.industry
Wandering spleen
Ultrasound
OPSI, overwhelming postspenectomy infection
medicine.disease
Splenoptosis
Surgery
CT, computed tomography
030220 oncology & carcinogenesis
Etiology
030211 gastroenterology & hepatology
ED, emergency department
medicine.symptom
Differential diagnosis
business
MRI, magnetic resonance imaging
Subjects
Details
- Language :
- English
- ISSN :
- 22102612
- Volume :
- 77
- Database :
- OpenAIRE
- Journal :
- International Journal of Surgery Case Reports
- Accession number :
- edsair.doi.dedup.....a075ea5835ff79011e5462cc64118f16