Pediatrics & Neonatology
Volume 50, Issue 4 , Pages 177-180, August 2009

Acute Torsion of Wandering Spleen: Report of One Case

  • Chi-Hone Lien

      Affiliations

    • Department of Pediatrics, Mackay Memorial Hospital, Hsin Chu Branch, Taiwan
    • ,
  • Hung-Chang Lee

      Affiliations

    • Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan
    • Department of Pediatrics, Taipei Medical University, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Pediatrics, Mackay Memorial Hospital, 92 Section 2, Chan-San N Rd, Taipei, Taiwan
    • ,
  • Chun-Yan Yeung

      Affiliations

    • Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan
    • ,
  • Wai-Tao Chan

      Affiliations

    • Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan
    • ,
  • Nein-Lu Wang

      Affiliations

    • Department of Pediatric Surgery, Mackay Memorial Hospital, Taipei, Taiwan

Received 31 October 2008; received in revised form 5 February 2009; accepted 20 February 2009.

Article Outline

Wandering spleen is a rare condition that can lead to splenic infarction or rupture if torsion persists. Early diagnosis and intervention are necessary, and abdominal ultrasonography and abdominal computed tomography are well accepted as the most useful diagnostic imaging modalities. In this study, we present a boy with splenic infarction due to acute torsion of a wandering spleen, after initial failure to demonstrate an ectopic spleen. Instead, acute torsion of the wandering spleen with spontaneous partial detorsion was incidentally found by multi-detector row CT with angiography. The patient was managed by splenectomy instead of splenopexy, because of poor reperfusion after laparoscopic detorsion.

Key Words:  high-resolution multiplanar reformatted images , multislice CT , spleen , splenic disease , wandering

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PII: S1875-9572(09)60059-0

doi:10.1016/S1875-9572(09)60059-0

Pediatrics & Neonatology
Volume 50, Issue 4 , Pages 177-180, August 2009

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