Radiofrequency-Assisted Partial Splenectomy Plus Splenopexy--A Modified Surgical Procedure for Wandering Spleen: A Case Report.

Wandering spleen is an extremely rare clinical condition characterized by abnormal anatomical position of the spleen. Up to now, its etiology remains unknown, and the best surgical procedure is still an area to explore in the future. In this article, we present the case of a 24-year-old woman with wandering spleen combined with congenital heart disease and pigeon chest. Based on the clinical features and our experiences of radiofrequency ablation for preservation of the spleen in traumatic spleen rupture, we successfully performed a modified splenectomy and splenopexy method. Since the operation, the organ has remained in place with good perfusion and function.

Splenic pseudocyst: a rare association with splenoptosis and vertebral segmentation anomalies.

Splenoptosis (wandering or ectopic spleen) is a congenital fusion anomaly of the dorsal mesogastrium in which the spleen is abnormally mobile due to its attachment by a long vascular pedicle. This abnormal mobility predisposes the spleen to complications such as torsion, infarction, gangrene and pancreatic necrosis. Pseudocyst formation is one of the rarely reported complications of splenoptosis. Few cases of splenoptosis associated with vertebral segmentation anomalies have been reported in the past. Here, we present the case of a young man with kyphoscoliosis, vertebral segmentation anomalies and splenoptosis complicated by pseudocyst formation.

An unusual case: a giant paraesophageal hiatal hernia with intrathoracic spleen, preduodenal portal vein, malrotation, and left inferior vena cava.

A giant paraesophageal hiatal hernia with preduodenal portal vein, nonrotating gut, intrathoracic spleen, and left inferior vena cava has not been reported to date. This set of complex anomalies can have significant clinical implications. Awareness of these anomalies is essential to avoid further complications.