Skip to main content
SpringerLink
Log in

Acute torsion of the spleen: diagnosis and management

  • Case Report
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

We present a 2-year-old girl with a 24-hour history of abdominal pain, fever, and vomiting. The diagnosis of acute splenic torsion was made by means of color and power Doppler ultrasound. Management of this rare surgical emergency is discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Allen KB, Andrews G (1989) Pediatric wandering spleen—the case for splenopexy: review of 35 reported cases in the literature. J Pediatr Surg 24:432–435

    PubMed  Google Scholar 

  2. Buehner M, Baker MS (1992) The wandering spleen. Surg Gynecol Obstet 175:373–387

    CAS  PubMed  Google Scholar 

  3. Herman TE, Siegel MJ (1991) CT of acute splenic torsion in children with wandering spleen. Am J Roentgenol 156:151–153

    CAS  Google Scholar 

  4. Swischuk LE, Williams JB, John SD (1993) Torsion of wandering spleen: the whorled appearance of the splenic pedicle on CT. Pediatr Radiol 23:476–477

    CAS  PubMed  Google Scholar 

  5. Nawaz A, Jacobsz A, Matta H, Al-Khouder G, Ansari F, Al-Salem AH (2000) Intrauterine torsion of a wandering spleen presenting as an abdominal cystic swelling. J Pediatr Surg 35:1508–1510

    Article  CAS  PubMed  Google Scholar 

  6. Koda M, Hosyo K, Murawaki Y, Horie Y, Suou T, Kawasaki H, Ikawa S (1996) The wandering spleen with collateral vessels containing gastric varices: color Doppler ultrasound imaging. J Clin Ultrasound 24:528–532

    Article  CAS  PubMed  Google Scholar 

  7. Shiels WE, Johnson JF, Stephenson SR, Huang YC (1989) Chronic torsion of the wandering spleen. Pediatr Radiol 19:465–467

    CAS  PubMed  Google Scholar 

  8. Danaci M, Belet U, Yalin T, Polat V, Nurol S, Selcuk MB (2000) Power Doppler sonographic diagnosis of torsion in a wandering spleen. J Clin Ultrasound 28:246–248

    Article  CAS  PubMed  Google Scholar 

  9. Hirose R, Kitano S, Bando T, Ueda Y, Sato K, Yoshida T, Suenobu S, Kawano T, Izumi T (1998) Laparoscopic splenopexy for pediatric wandering spleen. J Pediatr Surg 33:1571–1573

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Complejo Hospitalario Xeral-Cíes, Pizarro 22, 36204, Vigo , Spain

    José L. Vázquez & Cristina Páramo

  2. Department of Pediatric Surgery, Complejo Hospitalario Xeral-Cíes, Pizarro 22, 36204, Vigo , Spain

    Margarita Montero, Florentino Díaz, Rosa Muguerza & Alberto Rodríguez-Costa

Authors
  1. José L. Vázquez
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Margarita Montero
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Florentino Díaz
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Rosa Muguerza
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Cristina Páramo
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Alberto Rodríguez-Costa
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to José L. Vázquez.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vázquez, J.L., Montero, M., Díaz, F. et al. Acute torsion of the spleen: diagnosis and management. Ped Surgery Int 20, 153–154 (2004). https://doi.org/10.1007/s00383-003-1110-6

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-003-1110-6

Keywords

Search

Navigation