| Wandering spleen presenting as a right hypochondrial mass and intestinal obstruction. | |
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MedLine Citation:
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PMID: 12638849 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This is a case report of a 23 year old multiparous woman who presented with intestinal obstruction and a right hypochondrial mass. Laparatomy revealed an infarcted 1.4 Kg spleen in the right lumbar region compressing the ascending colon. There was also ileal volvulus around the splenic pedicle. This is probably the first documented case of wandering spleen in the right hypochondrium, presenting as right large bowel obstruction, to be reported in our region. Wandering spleen is a rare condition, often asymptomatic, but may present as an acute abdomen. Pre-operative diagnosis is difficult and rarely made. Laboratory tests are seldom useful, but imaging studies do assist. Up to 1971 only 350 cases had been reported in the western literature. Review of English literature from 1900 to 1991 reported only 51 cases in children. In our region 11 cases were reported in Uganda between 1968 and 1971. No other literature is available from our region. Clinical presentation, aetiology, investigation, and management of wandering spleen is discussed. |
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Authors:
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J W Githaiga; J A Adwok |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: East African medical journal Volume: 79 ISSN: 0012-835X ISO Abbreviation: East Afr Med J Publication Date: 2002 Aug |
Date Detail:
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Created Date: 2003-03-17 Completed Date: 2003-04-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0372766 Medline TA: East Afr Med J Country: Kenya |
Other Details:
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Languages: eng Pagination: 450-2 Citation Subset: IM |
Affiliation:
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Department of Human Anatomy, College of Health Sciences, University of Nairobi, P.O. Box 30197, Nairobi, Kenya. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdomen, Acute
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etiology* Adult Diagnosis, Differential Female Humans Hypersplenism / complications*, diagnosis*, epidemiology, surgery Ileal Diseases / etiology* Intestinal Obstruction / etiology* Palpation Patient Selection Percussion Rare Diseases / complications*, surgery* Splenectomy Splenic Infarction / complications*, diagnosis*, epidemiology, surgery Tomography, X-Ray Computed Uganda / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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