Wandering spleen with chronic torsion in a patient with thalassaemia
Singapore medical journal
; : e198-200, 2014.
Article
in En
| WPRIM
| ID: wpr-244763
Responsible library:
WPRO
ABSTRACT
Wandering spleen or splenoptosis is an uncommon entity and often an asymptomatic finding of acute abdomen in the emergency department. A high index of suspicion for splenic torsion is required, particularly in patients with known splenomegaly, as this condition could potentially lead to splenic infarction. Recognition of this condition can help avoid potential confusion with acute abdomen of other aetiologies. Herein, we present a unique case of wandering spleen with chronic torsion, which, to the best of our knowledge, has never been described in an elderly patient with haemoglobin H thalassaemia. We also review the literature for the aetiology and pathogenesis of wandering spleen, and discuss the relevant diagnostic modalities and treatment options.
Full text:
1
Index:
WPRIM
Main subject:
Singapore
/
General Surgery
/
Thalassemia
/
Torsion Abnormality
/
Tomography, X-Ray Computed
/
Abdominal Pain
/
China
/
Diagnosis
/
Wandering Spleen
/
Ethnology
Type of study:
Diagnostic_studies
Limits:
Aged
/
Female
/
Humans
Country/Region as subject:
Asia
Language:
En
Journal:
Singapore medical journal
Year:
2014
Type:
Article