Clinical Management and Surgical Outcomes of Wandering Spleen with Splenic Torsion in Pediatric Patients: A Case Report
Introduction: Wandering Spleen is a rare condition in which the splenic ligaments are abnormally loose or absent. This makes the Spleen more mobile and increases the risk of torsion. This case report outlines the clinical presentation and management of a 10-year-old female patient who presented at...
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Albanian Society for Trauma and Emergency Surgery
2025-01-01
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| Series: | Albanian Journal of Trauma and Emergency Surgery |
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| Online Access: | http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/441 |
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| author | Shaban Memeti Saimir Kuci Toni Ristevski Lazar Todorovic Marijan Kamilovski Blagica Krsteska Haris Sulejmani |
| author_facet | Shaban Memeti Saimir Kuci Toni Ristevski Lazar Todorovic Marijan Kamilovski Blagica Krsteska Haris Sulejmani |
| author_sort | Shaban Memeti |
| collection | DOAJ |
| description | Introduction: Wandering Spleen is a rare condition in which the splenic ligaments are abnormally loose or absent. This makes the Spleen more mobile and increases the risk of torsion.
This case report outlines the clinical presentation and management of a 10-year-old female patient who presented at our clinic with acute abdominal pain, vomiting episodes, and a severe fever. Imaging tests, such as abdominal ultrasonography and computed tomography, confirmed the diagnosis of splenic torsion by showing a hemorrhagic infarction and a large spleen. We performed a splenectomy to remove the damaged organ, a partial omental resection to remove the dead tissue and removed the mesenteric lymph nodes for further pathological examination.
After the surgical procedure, the intensive care unit carefully observed the patient and treated her with intravenous electrolyte replacement, broad-spectrum antibiotics, pain management, and measures to prevent thrombosis.
This case highlights the critical need for early diagnosis and timely surgical intervention in cases of wandering Spleen to prevent serious complications, including splenic infarction. By presenting this case, we seek to elevate awareness of wandering Spleen among healthcare professionals, mainly within pediatric groups. We emphasize the importance of timely diagnosis and appropriate management to optimize patient outcomes.
Conclusion: Early detection and prompt intervention are crucial in preventing severe complications in pediatric patients. This case emphasizes the necessity of rapid diagnosis and increased awareness in clinical practice. Due to the Spleen's impaired viability, a splenectomy was required. Following surgery, we provided comprehensive monitoring and pharmaceutical assistance to control pain, prevent infection, and maintain nutritional stability.
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| format | Article |
| id | doaj-art-eff9333da62344c792e3322333b713f0 |
| institution | Kabale University |
| issn | 2521-8778 2616-4922 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Albanian Society for Trauma and Emergency Surgery |
| record_format | Article |
| series | Albanian Journal of Trauma and Emergency Surgery |
| spelling | doaj-art-eff9333da62344c792e3322333b713f02025-01-19T14:24:38ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222025-01-019110.32391/ajtes.v9i1.441Clinical Management and Surgical Outcomes of Wandering Spleen with Splenic Torsion in Pediatric Patients: A Case ReportShaban Memeti0Saimir Kuci1Toni Ristevski2Lazar Todorovic3Marijan Kamilovski4Blagica Krsteska5Haris Sulejmani6University Clinic of Paediatric Surgery, Skopje, North MacedoniaDepartment of Cardiac Anesthesia, University Hospital Center “Mother Teresa” Tirana, AlbaniaUniversity Clinic of Paediatric Surgery, Skopje, North MacedoniaUniversity Clinic of Paediatric Surgery, Skopje, North MacedoniaUniversity Clinic of Paediatric Surgery, Skopje, North MacedoniaInstitute of Pathology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North MacedoniaFaculty of Medicine, S. S. Cyril and Methodius University in Skopje, North MacedoniaIntroduction: Wandering Spleen is a rare condition in which the splenic ligaments are abnormally loose or absent. This makes the Spleen more mobile and increases the risk of torsion. This case report outlines the clinical presentation and management of a 10-year-old female patient who presented at our clinic with acute abdominal pain, vomiting episodes, and a severe fever. Imaging tests, such as abdominal ultrasonography and computed tomography, confirmed the diagnosis of splenic torsion by showing a hemorrhagic infarction and a large spleen. We performed a splenectomy to remove the damaged organ, a partial omental resection to remove the dead tissue and removed the mesenteric lymph nodes for further pathological examination. After the surgical procedure, the intensive care unit carefully observed the patient and treated her with intravenous electrolyte replacement, broad-spectrum antibiotics, pain management, and measures to prevent thrombosis. This case highlights the critical need for early diagnosis and timely surgical intervention in cases of wandering Spleen to prevent serious complications, including splenic infarction. By presenting this case, we seek to elevate awareness of wandering Spleen among healthcare professionals, mainly within pediatric groups. We emphasize the importance of timely diagnosis and appropriate management to optimize patient outcomes. Conclusion: Early detection and prompt intervention are crucial in preventing severe complications in pediatric patients. This case emphasizes the necessity of rapid diagnosis and increased awareness in clinical practice. Due to the Spleen's impaired viability, a splenectomy was required. Following surgery, we provided comprehensive monitoring and pharmaceutical assistance to control pain, prevent infection, and maintain nutritional stability. http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/441Wandering Spleensplenic torsionpediatric surgerysplenectomyacute abdomen |
| spellingShingle | Shaban Memeti Saimir Kuci Toni Ristevski Lazar Todorovic Marijan Kamilovski Blagica Krsteska Haris Sulejmani Clinical Management and Surgical Outcomes of Wandering Spleen with Splenic Torsion in Pediatric Patients: A Case Report Albanian Journal of Trauma and Emergency Surgery Wandering Spleen splenic torsion pediatric surgery splenectomy acute abdomen |
| title | Clinical Management and Surgical Outcomes of Wandering Spleen with Splenic Torsion in Pediatric Patients: A Case Report |
| title_full | Clinical Management and Surgical Outcomes of Wandering Spleen with Splenic Torsion in Pediatric Patients: A Case Report |
| title_fullStr | Clinical Management and Surgical Outcomes of Wandering Spleen with Splenic Torsion in Pediatric Patients: A Case Report |
| title_full_unstemmed | Clinical Management and Surgical Outcomes of Wandering Spleen with Splenic Torsion in Pediatric Patients: A Case Report |
| title_short | Clinical Management and Surgical Outcomes of Wandering Spleen with Splenic Torsion in Pediatric Patients: A Case Report |
| title_sort | clinical management and surgical outcomes of wandering spleen with splenic torsion in pediatric patients a case report |
| topic | Wandering Spleen splenic torsion pediatric surgery splenectomy acute abdomen |
| url | http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/441 |
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