Document Detail


Acute abdomen due to wandering spleen infarction: a case report.
MedLine Citation:
PMID:  12744100     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a rare clinical case of acute abdomen due to partial infarction of a wandering spleen in the pelvis in a 60-year-old woman. The patient was suffering from stabbing pain in the external lower quadrant of the abdomen, irradiating back to the lumbosacral area, together with an unremitting feverish state (38 degrees C), sickness and constipation. After carrying out serological examinations, which revealed an increase in CPK and leukocytosis, ultrasonography and CT examinations were performed, revealing a mass in the left iliac cavity, which in all probability was a wandering spleen with an abnormally long pedicle and a dyshomogeneous lower area bearing witness to a splenic infarction. The patient was therefore submitted to surgery consisting in splenectomy after lysis of the adherences, which were plainly inflammatory. A wandering spleen, especially when infarcted, is a very rare clinical condition that may be congenital or acquired. Its presence can be confirmed by serological, ultrasonographical and CT examinations and must be suspected when there is no clearly defined acute abdomen.
Authors:
Giuseppe Benfatto; Gaetano Catania; Grazia Maria D'Urso; Vincenzo Licari; Giuseppe Basile; Luigi Tenaglia; Roberta Giovinetto; Antonino Giovinetto
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chirurgia italiana     Volume:  55     ISSN:  0009-4773     ISO Abbreviation:  Chir Ital     Publication Date:    2003 Mar-Apr
Date Detail:
Created Date:  2003-05-14     Completed Date:  2003-06-18     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151753     Medline TA:  Chir Ital     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  243-7     Citation Subset:  IM    
Affiliation:
Dipartimento di Chirurgia dell'Università di Catania Sezione di Chirurgia Generale ed Oncologica U.O. di Patologia Chirurgica, Azienda Ospedali Vittorio Emanuele, Ferrarotto, S, Bambino.
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MeSH Terms
Descriptor/Qualifier:
Abdomen, Acute / etiology*
Diagnosis, Differential
Female
Humans
Middle Aged
Splenectomy*
Splenic Infarction / complications*,  diagnosis*,  physiopathology,  surgery

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