| Splenic torsion: a case report. | |
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MedLine Citation:
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PMID: 20529485 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Torsion of the spleen is a rare cause of abdominal pain. Predisposition occurs following abnormal development of splenic suspensory ligaments. We report a case of splenic torsion in a spleen sited in a normal anatomical position and discuss the latest treatment options. To the best of our knowledge, this has not been reported in the literature to date. CASE PRESENTATION: A 73-year-old Caucasian woman presented to our department with sudden onset, severe, left-upper abdominal pain. An enhanced computed tomography revealed an unenhancing spleen. She underwent an urgent laparotomy and splenectomy for 360 degrees torsion of her spleen. CONCLUSIONS: Splenic torsion in a wandering spleen has been described with an incidence of < 0.2%. Symptoms vary from asymptomatic to an acute surgical abdomen. Diagnosis is commonly made using colour Doppler sonography or enhanced computed tomography. Surgery is guided by clinical setting, with preservation of the spleen as the goal. |
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Authors:
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M Hussain; R Deshpande; S T R Bailey |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-06-07 |
Journal Detail:
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Title: Annals of the Royal College of Surgeons of England Volume: 92 ISSN: 1478-7083 ISO Abbreviation: Ann R Coll Surg Engl Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-14 Completed Date: 2010-08-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7506860 Medline TA: Ann R Coll Surg Engl Country: England |
Other Details:
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Languages: eng Pagination: W51-2 Citation Subset: IM |
Affiliation:
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Department of Surgery, Maidstone Hospital, Maidstone, UK. muddassarhussain@doctors.org.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Pain
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etiology Aged Female Humans Splenectomy Splenic Diseases / complications, radiography, surgery* Tomography, X-Ray Computed Torsion Abnormality / complications, radiography, surgery* |
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