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Acute colonic obstruction induced by torsion of a wandering spleen

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Abstract

Torsion of a wandering spleen is a very rare entity that is usually unsuspected preoperatively. A case of acute colonic obstruction due to torsion of a wandering spleen in an adolescent is presented. The unusual clinical picture developed 4 years after a previous splenopexy. Fixation of the spleen to the left upper quadrant is considered the treatment of choice. Marlex mesh fixation of the spleen to the abdominal wall at the iliac crest level is suggested as an optional therapeutic approach in specific cases where classical splenopexy is not technically possible.

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Authors and Affiliations

  1. Department of Surgery “B”, Assaf Harofeh Medical Center, 70300, Zerifin, Israel

    L. Zaidenstein

  2. Department of Pediatric Surgery, Assaf Harofeh Medical Center, 70300, Zerifin, Israel

    B. Klin, A. Halevy & I. Vinograd

Authors
  1. L. Zaidenstein
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  2. B. Klin
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  3. A. Halevy
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  4. I. Vinograd
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Additional information

Affiliated to the Sackler Faculty of Medicine, Tel Aviv University

Correspondecee to: I. Vinograd

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Zaidenstein, L., Klin, B., Halevy, A. et al. Acute colonic obstruction induced by torsion of a wandering spleen. Pediatr Surg Int 8, 346–348 (1993). https://doi.org/10.1007/BF00173363

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  • DOI: https://doi.org/10.1007/BF00173363

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