Skip to main content
SpringerLink
Log in

Enlarged wandering spleen treated with hemisplenectomy and fixation of the residual spleen

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

Abstract

A case of enlarged wandering spleen presenting as an abdominal mass in a 7-year-old girl is reported. The diagnosis was performed by ultrasonography and confirmed by aortography. Treatment consisted of an elective partial splenectomy and fixation of the residual spleen to the left hemidiaphragm. The patient’s symptoms regressed, and now, after more than 2 years, she is doing well. Two years postoperatively scintigraphy demonstrated a good captation of radionuclide by a normal-sized spleen at the left hypochondrium. The results obtained with the procedure that was adopted for treating this case of wandering spleen allow the authors to state that hemispleen fixation is a valid option for treating symptomatic enlarged wandering spleen.

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

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

    Google Scholar 

  2. Melikoglu M, Colak T, Kavasoglu T (1995) Two unusual cases of wandering spleen requiring splenectomy. Eur J Pediatr Surg 5:48–50

    Google Scholar 

  3. Stringel G, Joney P, Mercer S (1982) Torsion of wandering spleen: splenectomy or splenopexy. J Pediatr Surg 17:373–376

    Google Scholar 

  4. Sodhi KS, Saggar K, Sood BP, Sandhu P (2003) Torsion of a wandering spleen: acute abdominal presentation. J Emerg Med 25:133–137

    Google Scholar 

  5. Sayeed S, Koniaris LG, Kovach SJ (2002) Torsion of wandering spleen. Surgery 132:535–536

    Google Scholar 

  6. King H, Shumaker HH (1952) Splenic studies: susceptibility to infection after splenectomy performed in infancy. Ann Surg 136:239–243

    CAS  PubMed  Google Scholar 

  7. Kimber C, Spitz L, Drake D (1998) Elective partial splenectomy in childhood. J Pediatr Surg 33:826–829

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Chair of Pediatric Surgery, Department of Experimental and Clinical Medicine, Magna Graecia University, Via Tommaso Campanella 115, 88100, Catanzaro, Italy

    C. Esposito, A. Centonze, R. Damiano & P. Maglio

  2. Chair of Pediatric Surgery, Federico II University, Via Pansini 5, 80131, Naples, Italy

    A. Settimi & G. Esposito

  3. Chair of Pediatric Surgery, Magna Graecia University, Catanzaro Piazza degli Artisti 7/c, 80129, Naples, Italy

    C. Esposito

Authors
  1. C. Esposito
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Settimi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A. Centonze
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. R. Damiano
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. P. Maglio
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. G. Esposito
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to C. Esposito.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Esposito, C., Settimi, A., Centonze, A. et al. Enlarged wandering spleen treated with hemisplenectomy and fixation of the residual spleen. Ped Surgery Int 21, 488–490 (2005). https://doi.org/10.1007/s00383-005-1403-z

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-005-1403-z

Keywords

Search

Navigation