Torsion of the Vascular Pedicle of A Wandering Spleen: An Unusual Cause of Intestinal Strangulation

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  •   Randimbinirina Zakarimanana Lucas

  •   Ratsimarisolo Nathan

  •   Rajaonarivony Maheriandrianina Fanambina Voahary

  •   Ahmad Ahmad

  •   Ravalisoa Marie Lydia Agnès

Abstract

Ectopic spleen is a rare splenic malformation. Apart from torsion of the vascular pedicle, a common complication, an ectopic spleen could be responsible of an acute intestinal obstruction. We report a case of an 8-year-old girl who presented an acute abdomen, following of the transverse colon strangulation by the torsion of the vascular pedicle of a wandering spleen. The patients benefited a surgical opening into the abdomen who has been confirmed the diagnosis and made a detorsion of the vascular pedicle of spleen with splenopexy.
The interest of this case report lies on the rarity of a wandering spleen and on the unusual situation of transverse colon strangulation by the vascular pedicle of spleen.


Keywords: CT-scan, intestinal obstruction, torsion, vascular pedicle, wandering spleen

References

Heba Taher, Mostafa Abdellatif, Mahmoud Tarek, Gamal El Tagy. Torsion of wandering spleen in an infant associated with hamartomatous vascular malformation. J Pediatr Surg Case Rep 2019;40:13–16.

Alqadi GO, Saxena AK. Is laparoscopic approach for wandering spleen in children an option?. J Min Access Surg 2019;15:93-7.

Germain M. Une torsion de rate baladeuse révélée par un syndrome subocclusif intestinal. Ann Afr Med 2018;11(4):e3051

Kapan M, Gumus M‚ Onder A, Gumus H. A wandering spleen presenting as an acute abdomen: Case report. J Emerg Med 2012;43(5):e303-e305.

Nwashilli JN, Ezeokenwa MO, Ukwuoma JK. Wandering spleen causing recurrent abdominal pain. Niger J Surg Sci 2015;25:37-40.

Khalid E, Fatimazahra B, Rachid L, Abdelaziz F, Mohamed L, Nadia B et al.. Acute abdomen in a torsion of an ectopic spleen: report of a case. Pan Afr Med J 2012;11:62-62.

Chen JW, Yeh DM., Peng SH, Chen GS, Tseng YH, Lin CW et al. Sonographic diagnosis of a subclinical wandering spleen: role of the decubitus position. J Ultrasound Med 2012;31(3):483-487.

Rasheed B, Ahmed F, Iqbal Z, Babar S, Ahmed N. Wandering spleen with tortion leading to infarction. Europ J Radiol Extra 2011;77(1):5-7.

Puglisi F, Potenza A, Melchionda M, Capuano P, De Fazio M, Lobascio P, Martines G, Lograno G. Wandering spleen as a cause of acute abdomen: a case report. Chir Ital 2005;57(3):373-375.

Khan D B, Khandwala K, Abbasi S, et al. Torsion of Wandering Spleen with Infarction. Cureus 2018;10(8):e3177.

Dème H, Akpo LG, Fall S, Badji N, Ka I, Guèye ML et al. Torsion chronique d’une rate baladeuse chez un adolescent: à propos d’un cas. Pan Afr Med J 2016;24(1).

Ashok Kumar Puranik. Wandering spleen: a surgical enigma. Gastroenterol Rep 2017;5(3):241–243.

Singla V, Galwa RP, Khandewal N, Poornachandra KS, Dutta U, Kochhar R. Wandering spleen presenting as bleeding gastric varices. Am J Emerg Med 2008;26(5):637.

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How to Cite
Lucas, R. Z., Nathan, R., Voahary, R. M. F., Ahmad, A., & Agnès, R. M. L. (2021). Torsion of the Vascular Pedicle of A Wandering Spleen: An Unusual Cause of Intestinal Strangulation. European Journal of Clinical Medicine, 2(2), 13–15. https://doi.org/10.24018/clinicmed.2021.2.2.51

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