Document Detail


Wandering spleen presenting as a right hypochondrial mass and intestinal obstruction.
MedLine Citation:
PMID:  12638849     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
J W Githaiga; J A Adwok
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  East African medical journal     Volume:  79     ISSN:  0012-835X     ISO Abbreviation:  East Afr Med J     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2003-03-17     Completed Date:  2003-04-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372766     Medline TA:  East Afr Med J     Country:  Kenya    
Other Details:
Languages:  eng     Pagination:  450-2     Citation Subset:  IM    
Affiliation:
Department of Human Anatomy, College of Health Sciences, University of Nairobi, P.O. Box 30197, Nairobi, Kenya.
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MeSH Terms
Descriptor/Qualifier:
Abdomen, Acute / 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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