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Splenic Infarction due to Torsion of Wandering Spleen: A Case Report
Journal of the Korean Association of Pediatric Surgeons ; : 183-188, 2008.
Artigo em Coreano | WPRIM | ID: wpr-17464
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 360degrees 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.
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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Exame Físico / Baço / Esplenectomia / Infarto do Baço / Vômito / Dor Abdominal / Colo / Emergências / Abdome / Baço Flutuante Limite: Criança / Humanos Idioma: Coreano Revista: Journal of the Korean Association of Pediatric Surgeons Ano de publicação: 2008 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Exame Físico / Baço / Esplenectomia / Infarto do Baço / Vômito / Dor Abdominal / Colo / Emergências / Abdome / Baço Flutuante Limite: Criança / Humanos Idioma: Coreano Revista: Journal of the Korean Association of Pediatric Surgeons Ano de publicação: 2008 Tipo de documento: Artigo