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Journal of Surgical Case Reports 2020-Feb

Acute abdomen due to an infarction of wandering spleen: case report.

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Ragheb Assaf
Baraa Shebli
Ayham Alzahran
Ahmad Rahmeh
Ali Mansour
Rama Hamza
Ehab Alkushti
Kusay Ayoub

Keywords

Abstract

Wandering spleen is a rare condition characterized by the absence or underdevelopment of one or all spleen ligaments that fixate the spleen in the left upper quadrant. Many different terms refer to wandering spleen like dislocated spleen, ectopic spleen and displaced spleen. We report in this case a 13-year-old Syrian girl presented to the emergency department complaining of acute generalized abdominal pain with fever, anorexia and vomiting started 2 days prior to presentation. A splenectomy was performed, with uneventful postsurgical follow-up. Wandering spleen is prone to torsion and infarction resulting in acute abdomen and a life-threatening condition with high mortality rate reaching 50%. We advise the investigation of any recurrent episodes of chronic pain keeping up within mind this diagnosis.

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