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European J Pediatr Surg Rep. 2014; 02(01): 026-028
DOI: 10.1055/s-0034-1370776
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Splenorenal Collaterals as Hallmark for a Twisted Wandering Spleen in a 14-Year-Old Girl with Abdominal Pain: A Case Report

Rashidi Rellum
1   Department of Internal Medicine, Sint Franciscus Gasthuis, Rotterdam, The Netherlands
,
Gerard Risseeuw
2   Department of Radiology, Ruwaard van Putten Hospital, Spijkenisse, The Netherlands
,
Ivo de Blaauw
3   Department of Pediatric Surgery, Radboud Medical Centre, Nijmegen, The Netherlands
,
Maarten Lequin
4   Department of Radiology, Sophia Childrens Hospital, Rotterdam, The Netherlands
› Author Affiliations
Further Information

Publication History

15 December 2013

27 December 2013

Publication Date:
28 March 2014 (online)

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Abstract

Wandering spleen is a rare cause of acute or chronic recurrent abdominal pain with a risk of splenic torsion and infarction. We describe a case of a 14-year-old girl with chronic recurrent abdominal pain with a palpable spleen in normal position on the initial physical examination. Laboratory findings were normal. A normal blood flow was seen on the initial (color Doppler) sonography. Magnetic resonance imaging showed an enlarged spleen in the pelvic region with torsion of hilar pedicle and splenorenal collaterals. Semielective, a laparoscopic splenopexy was performed without complications. A twisted wandering spleen should be included in the differential diagnosis of recurrent abdominal pain despite possible normal positioning of the spleen. The presence of splenorenal collaterals on imaging techniques can be used as a diagnostic hallmark.

Keywords

wandering - spleen - torsion
 

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