| Mass at the splenic hilum: a clue to torsion of a wandering spleen located in a normal left upper quadrant position. | |
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MedLine Citation:
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PMID: 12751865 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Wandering spleen is an extremely rare condition in which the spleen is lacking its normal ligamentous attachments and therefore can move to an ectopic position in the abdomen or pelvis. Wandering spleen predisposes the patient to life-threatening complications due to torsion of the spleen's vascular pedicle, with resulting splenic infarction, portal hypertension, and bleeding. Because of the nonspecific symptoms, imaging plays an important role. To our knowledge, only a few case reports describing wandering spleen in the pediatric population have been published, including 2 cases in infancy. We report a case of splenic torsion in an infant with a preoperative diagnosis made on the basis of color and power Doppler sonography. The diagnosis was confirmed by contrast-enhanced helical computed tomography (CT) and proved at surgery. On sonography, a diffusely hypoechoic spleen and a mass at the splenic hilum representing the torsed splenic pedicle were shown. The splenic hilar mass correlates with the CT "whirl" sign indicative of torsion. |
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Authors:
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Ada Kessler; Elka Miller; Sergei Keidar; Arye Blachar; Liat Ben Sira; Mark Weinberg; Avinoam Rachmel |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine Volume: 22 ISSN: 0278-4297 ISO Abbreviation: J Ultrasound Med Publication Date: 2003 May |
Date Detail:
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Created Date: 2003-05-19 Completed Date: 2004-01-15 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8211547 Medline TA: J Ultrasound Med Country: United States |
Other Details:
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Languages: eng Pagination: 527-30 Citation Subset: IM |
Affiliation:
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Department of Radiology, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Avi, Israel. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Choristoma
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surgery,
ultrasonography* Diagnosis, Differential Humans Infant Male Spleen / ultrasonography* Splenectomy Splenic Diseases / surgery, ultrasonography* Torsion Abnormality / diagnosis, surgery, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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