Wandering spleen with chronic torsion in a patient with thalassaemia

被引:11
作者
Ho, Chi Long [1 ]
机构
[1] Singapore Gen Hosp, Dept Diagnost Radiol, Singapore 169608, Singapore
关键词
splenomegaly; splenoptosis; thalassaemia; torsion; CT; MANAGEMENT; DIAGNOSIS;
D O I
10.11622/smedj.2014185
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Wandering spleen or splenoptosis is an uncommon entity and often an asymptomatic finding of acute abdomen in the emergency department. A high index of suspicion for splenic torsion is required, particularly in patients with known splenomegaly, as this condition could potentially lead to splenic infarction. Recognition of this condition can help avoid potential confusion with acute abdomen of other aetiologies. Herein, we present a unique case of wandering spleen with chronic torsion, which, to the best of our knowledge, has never been described in an elderly patient with haemoglobin H thalassaemia. We also review the literature for the aetiology and pathogenesis of wandering spleen, and discuss the relevant diagnostic modalities and treatment options.
引用
收藏
页码:E198 / E200
页数:3
相关论文
共 20 条
  • [1] The wandering spleen: CT findings and possible pitfalls in diagnosis[J]. Ben Ely, A.;Zissin, R.;Copel, L.;Vasserman, M.;Hertz, M.;Gottlieb, P.;Gayer, G. CLINICAL RADIOLOGY, 2006(11)
  • [2] COMPUTED-TOMOGRAPHY FEATURES OF COMPLETE SPLENIC INFARCTION, CAVITATION AND SPONTANEOUS DECOMPRESSION COMPLICATING PANCREATITIS[J]. COLLIE, DA;FERGUSON, JM;ALLAN, PL;REDHEAD, DN. BRITISH JOURNAL OF RADIOLOGY, 1995(810)
  • [3] Laparoscopic splenectomy for the treatment of wandering spleen[J]. Corcione, F;Caiazzo, P;Cuccurullo, D;Miranda, L;Settembre, A;Pirozzi, F;Bruzzese, G. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2004(03)
  • [4] MANAGEMENT OF THE WANDERING SPLEEN[J]. DAWSON, JHM;ROBERTS, NG. AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 1994(06)
  • [5] Traumatic rupture of a wandering spleen in a child: Case report and literature review[J]. Horwitz, JR;Black, CTB. JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1996(02)
  • [6] Ityel H, 2011, ISR MED ASSOC J, V13, P119
  • [7] Management of a wandering spleen[J]. Lane, TM;South, LM. JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, 1999(02)
  • [8] Wandering spleen: An unusual association with gastric volvulus[J]. Liu, Huai-Tzu Michael;Lau, Kenneth K. AMERICAN JOURNAL OF ROENTGENOLOGY, 2007(04)
  • [9] Wandering Spleen: A Medical Enigma, Its Natural History and Rationalization[J]. Magowska, Anita. WORLD JOURNAL OF SURGERY, 2013(03)
  • [10] Wandering spleen with torsion in a geriatric patient - Report of an unusual case with a brief review of the clinical picture and management[J]. McFee, RB;Musacchio, T;Gorgescu, D;Bozorgnia, M;Abdelsayed, G;Pachter, BR. DIGESTIVE DISEASES AND SCIENCES, 1995(12)