Acute abdomen due to torsion of the wandering spleen in a patient with Marfan Syndrome

Wandering spleen is a very rare defect characterized by the absence or weakness of one or more of the ligaments that hold the spleen in its normal position in the upper left abdomen. Patient symptomatology is variable and ranges from mere feeling of an abdominal lump to sudden abdominal pain due to...

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Bibliographic Details
Published in:World journal of emergency surgery 2013-08, Vol.8 (1), p.30-30, Article 30
Main Authors: Leci-Tahiri, Laura, Tahiri, Afrim, Bajrami, Rifat, Maxhuni, Mehmet
Format: Article
Language:English
Subjects:
Acute abdomen
Care and treatment
Case studies
Complications and side effects
Diagnosis
Heart
Heart diseases
Marfan syndrome
Review
Risk factors
Splenic diseases
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Summary:Wandering spleen is a very rare defect characterized by the absence or weakness of one or more of the ligaments that hold the spleen in its normal position in the upper left abdomen. Patient symptomatology is variable and ranges from mere feeling of an abdominal lump to sudden abdominal pain due to infarction. Patients may have subacute to chronic abdominal or gastrointestinal complaints. Because of nonspecific symptoms, clinical diagnosis can be difficult; hence, imaging plays an important role. A major complication is splenic torsion, which is the cause of acute abdomen. We present a case of acute abdominal pain due to torsion of wandering spleen in a patient with Marfan Syndrome, valvular heart disease, and vertebral anomalies. Preoperative diagnosis was made on the basis of ultrasonography and computed tomography, which was later confirmed on surgery, and treated successfully.
ISSN:1749-7922
1749-7922
DOI:10.1186/1749-7922-8-30