Abstract
Wandering spleen is a very rare pathologic condition that initially presents with unremarkable clinical symptoms, then dramatically manifests severe complications. A case of wandering spleen treated with laparoscopic splenectomy is described and compared with other similar reports in the literature. Laparoscopic exploration of the abdominal cavity allowed the diagnosis to be confirmed and splenectomy to be performed. An enlarged spleen led to the choice of total splenectomy to avoid both future complications and future organ torsion resulting from the long and twisted vascular pedicle. The laparoscopic approach led to a rapid recovery, a 3-day postoperative course, and satisfactory cosmetic results.
References
U Angeras B Almskog P Lukes S Lundstam L Weiss (1984) ArticleTitleAcute gastric hemorrhage secondary to wandering spleen. Dig Dis Sci 29 1159–1163 Occurrence Handle1:STN:280:BiqD2M%2FntVQ%3D Occurrence Handle6333975
A Benevento L Boni G Dionigi A Ferrari R Dionigi (2002) ArticleTitleEmergency laparoscopic splenectomy for “wandering” (pelvic) spleen. Surg Endosc 16 1364–1365 Occurrence Handle1:STN:280:DC%2BD38vntlKisw%3D%3D
C Blanc M Delvaux Y Aggadi E Lagier N Gonzales G Fourtanier J Frexinos (1999) ArticleTitleSplenic infarction by torsion of its pedicle: the wandering spleen syndrome. Gastroenterol Clin Biol 23 585–586 Occurrence Handle1:STN:280:DyaK1MzlvVGitQ%3D%3D Occurrence Handle10429869
MS Cohen NJ Soper RA Underwood M Quasebarth LM Brunt (1998) ArticleTitleLaparoscopic splenopexy for wandering (pelvic) spleen. Surg Laparosc Endosc 8 286–290 Occurrence Handle10.1097/00019509-199808000-00010 Occurrence Handle1:STN:280:DyaK1czmvFahtA%3D%3D Occurrence Handle9703603
F Corcione C Esposito D Cuccurullo A Settembre L Miranda P Capasso D Piccolboni (2002) ArticleTitleTechnical standardization of laparoscopic splenectomy: experience with 105 cases. Surg Endosc 16 972–974 Occurrence Handle10.1007/s00464-001-9007-8 Occurrence Handle1:STN:280:DC%2BD38vgvFGmug%3D%3D Occurrence Handle12163966
C Esposito F Corcione G Ascione V Garipoli F Di Pietto M De Pasquale (1998) ArticleTitleSplenectomy in childhood: the laparoscopic approach. Surg Endosc 12 1445–1448 Occurrence Handle10.1007/s004649900879 Occurrence Handle1:STN:280:DyaK1M%2FktVWgsQ%3D%3D Occurrence Handle9822477
C Esposito F Corcione V Garipoli G Ascione (1997) ArticleTitlePediatric laparoscopic splenectomy: are there real advantages in comparison with the traditional open approach? Pediatr Surg Int 12 509–510 Occurrence Handle10.1007/s003830050195 Occurrence Handle1:STN:280:ByiA1critFc%3D Occurrence Handle9238118
RR Gurski CC Schirmer CA Fischer R Thofehrn AB Osvaldt A Padoin CP Portinho CD Cruel (1998) ArticleTitleLaparoscopic approach to wandering spleen: a case report and an update to the question. Surg Laparosc Endosc 8 363–365 Occurrence Handle10.1097/00019509-199810000-00009 Occurrence Handle9799146
E Habib G Bellaiche P Fouet A Elhadad (2001) ArticleTitleHematemesis revealing chronic volvulus of a wandering spleen. Ann Chir 126 896–898 Occurrence Handle10.1016/S0003-3944(01)00623-X Occurrence Handle1:STN:280:DC%2BD38%2FjsVKnug%3D%3D Occurrence Handle11760582
M Haj A Bickel M Weiss A Eitan (1999) ArticleTitleLaparoscopic splenopexy of a wandering spleen. J Laparoendosc Adv Surg Tech A 9 357–360 Occurrence Handle1:STN:280:DyaK1Mvhs12gtA%3D%3D Occurrence Handle10488833
R Hirose S Kitano T Bando Y Ueda K Sato T Yoshida S Suenobu T Kawano T Izumi (1998) ArticleTitleLaparoscopic splenopexy for pediatric wandering spleen. J Pediatr Surg 33 1571–1573 Occurrence Handle1:STN:280:DyaK1M%2Fhslyiuw%3D%3D Occurrence Handle9802819
H Nomura S Haji D Kuroda K Yasuda H Ohyanagi M Kudo (2000) ArticleTitleLaparoscopic splenopexy for adult wandering spleen: sandwich method with two sheets of absorbable knitted mesh. Surg Laparosc Endosc Percutan Tech 10 332–334 Occurrence Handle10.1097/00019509-200010000-00016 Occurrence Handle1:STN:280:DC%2BD3M7gtFGgsQ%3D%3D Occurrence Handle11083221
K Peitgen M Majetschak MK Walz (2001) ArticleTitleLaparoscopic splenopexy by peritoneal and omental pouch construction for intermittent splenic torsion (“wandering spleen”). Surg Endosc 15 413 Occurrence Handle1:STN:280:DC%2BD38%2Fht1yhtw%3D%3D
G Pelizzo MA Lembo A Franchella A Giombi F D’Agostino S Sala (2001) ArticleTitleGastric volvulus associated with congenital diaphragmatic hernia, wandering spleen, and intrathoracic left kidney: CT findings. Abdom Imaging 26 306–308 Occurrence Handle10.1007/s002610000171 Occurrence Handle1:STN:280:DC%2BD3MzntlCmuw%3D%3D Occurrence Handle11429960
D Rosin I Bank G Gayer U Rimon D Gur Y Kuriansky B Morag A Ayalon (2002) ArticleTitleLaparoscopic splenectomy for torsion of wandering spleen associated with celiac axis occlusion. Surg Endosc 16 1110 Occurrence Handle10.1007/s00464-001-4242-6 Occurrence Handle1:STN:280:DC%2BD38vhtFGhsg%3D%3D
S Sayeed LG Koniaris SJ Kovach T Hirokawa (2002) ArticleTitleTorsion of a wandering spleen. Surgery 132 535–536 Occurrence Handle12324776
R Steinberg B Karmazyn E Dlugy E Gelber E Freud G Horev M Zer (2002) ArticleTitleClinical presentation of wandering spleen. J Pediatr Surg 37 .–.
G Stringel P Soucy S Mercer (1982) ArticleTitleTorsion of the wandering spleen: splenectomy or splenopexy. J Pediatr Surg 17 373–375 Occurrence Handle1:STN:280:BiyD3cbltl0%3D Occurrence Handle7120005
DB Tashjian KP Moriarty (2001) ArticleTitleGastric volvulus associated with wandering spleen in a child. J Pediatr Surg 36 1468 Occurrence Handle1:STN:280:DC%2BD3MvosF2nsA%3D%3D
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Corcione, F., Caiazzo, P., Cuccurullo, D. et al. Laparoscopic splenectomy for the treatment of wandering spleen. Surg Endosc 18, 554–556 (2004). https://doi.org/10.1007/s00464-003-4254-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00464-003-4254-5