Emergency radiological evaluation of wandering spleen volvulus and infarction: A case report and review of literature
Wandering spleen (WS) is exceedingly rare and is attributed to the absence or maldevelopment of the spleen's anchoring ligaments. The diagnosis of WS in the emergency department poses a particular clinical challenge as the clinical presentation is highly variable from acute abdomen requiring im...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-04-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325000548 |
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| author | Muataz Kashbour, MBChB Maaly Abuhlaiga, MBChB Muhammed Asim Awan, MD Khalid Gashoot, MD |
| author_facet | Muataz Kashbour, MBChB Maaly Abuhlaiga, MBChB Muhammed Asim Awan, MD Khalid Gashoot, MD |
| author_sort | Muataz Kashbour, MBChB |
| collection | DOAJ |
| description | Wandering spleen (WS) is exceedingly rare and is attributed to the absence or maldevelopment of the spleen's anchoring ligaments. The diagnosis of WS in the emergency department poses a particular clinical challenge as the clinical presentation is highly variable from acute abdomen requiring immediate surgery to chronic indolent pain extending over years. Herein, we report the case of a 34-year-old nulliparous lady, who presented to the emergency department with left iliac fossa pain associated with vomiting, successfully diagnosed preoperatively using computerized tomography. A splenectomy was performed, and the patient achieved full recovery. Timely use of imaging aids emergency physicians in the early detection of wandering spleen. Early diagnosis allows spleen-preserving strategies and therefore prevents the life-threatening complications of postsplenectomy sepsis. |
| format | Article |
| id | doaj-art-801f4b16828846409438b61d8c9c67cb |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-801f4b16828846409438b61d8c9c67cb2025-02-06T05:11:28ZengElsevierRadiology Case Reports1930-04332025-04-0120422032206Emergency radiological evaluation of wandering spleen volvulus and infarction: A case report and review of literatureMuataz Kashbour, MBChB0Maaly Abuhlaiga, MBChB1Muhammed Asim Awan, MD2Khalid Gashoot, MD3Diagnostic Radiology Department, National Cancer Institute-Misrata, Misrata, Libya; Corresponding author.Internal Medicine Department, Misrata Medical Center, Misrata, LibyaRadiology Department, El Asmariya University Zaliten, Zaliten, Libya; Diagnostic Radiology Department, Misrata Medical Center, Misrata, LibyaDiagnostic Radiology- Department, Tripoli University, Tripoli, Libya; Radiology Department, Tripoli Central Hospital, Tripoli, LibyaWandering spleen (WS) is exceedingly rare and is attributed to the absence or maldevelopment of the spleen's anchoring ligaments. The diagnosis of WS in the emergency department poses a particular clinical challenge as the clinical presentation is highly variable from acute abdomen requiring immediate surgery to chronic indolent pain extending over years. Herein, we report the case of a 34-year-old nulliparous lady, who presented to the emergency department with left iliac fossa pain associated with vomiting, successfully diagnosed preoperatively using computerized tomography. A splenectomy was performed, and the patient achieved full recovery. Timely use of imaging aids emergency physicians in the early detection of wandering spleen. Early diagnosis allows spleen-preserving strategies and therefore prevents the life-threatening complications of postsplenectomy sepsis.http://www.sciencedirect.com/science/article/pii/S1930043325000548Wandering spleenSpleen torsionSplenic ligamentsUltrasonographyComputerized tomography |
| spellingShingle | Muataz Kashbour, MBChB Maaly Abuhlaiga, MBChB Muhammed Asim Awan, MD Khalid Gashoot, MD Emergency radiological evaluation of wandering spleen volvulus and infarction: A case report and review of literature Radiology Case Reports Wandering spleen Spleen torsion Splenic ligaments Ultrasonography Computerized tomography |
| title | Emergency radiological evaluation of wandering spleen volvulus and infarction: A case report and review of literature |
| title_full | Emergency radiological evaluation of wandering spleen volvulus and infarction: A case report and review of literature |
| title_fullStr | Emergency radiological evaluation of wandering spleen volvulus and infarction: A case report and review of literature |
| title_full_unstemmed | Emergency radiological evaluation of wandering spleen volvulus and infarction: A case report and review of literature |
| title_short | Emergency radiological evaluation of wandering spleen volvulus and infarction: A case report and review of literature |
| title_sort | emergency radiological evaluation of wandering spleen volvulus and infarction a case report and review of literature |
| topic | Wandering spleen Spleen torsion Splenic ligaments Ultrasonography Computerized tomography |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325000548 |
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