Wandering Spleen as a Cause of Acute Abdomen: A Surgical Conundrum from Acute Appendicitis to Splenic Torsion and Ischemic Small Bowel Volvulus

Fatimah Najid, and Sanjeev Sandrasecra, and Mohd Zuki Asyraf, and Chang, Haur Lee and Firdaus Hayati, and Nornazirah Azizan, and Andee Dzulkarnaen Zakaria, (2020) Wandering Spleen as a Cause of Acute Abdomen: A Surgical Conundrum from Acute Appendicitis to Splenic Torsion and Ischemic Small Bowel Volvulus. Malaysian Journal of Medicine and Health Sciences, 16 (1). pp. 336-338. ISSN 2636-9346

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Abstract

Wandering spleen is renowned as a surgical enigma due to its diverse presentations. Due to lack of its attaching ligaments which would usually place it at the left hypochondrium region, the spleen ‘wanders’ and may be located anywhere within the abdominal cavity. This condition has been associated with many complications such as splenic torsion, pancreatitis and portal hypertension. We report a case of a wandering spleen presenting as acute appendicitis in an 18-year-old young active sportsman. The patient developed post-operative ileus and later intestinal obstruction which necessitated exploratory laparatomy onto which the final diagnosis of splenic and small bowel infarct due to splenic torsion with small bowel volvulus was made. Splenectomy, small bowel resection and primary anastomosis were performed and the patient made a full recovery.

Item Type: Article
Uncontrolled Keywords: Wandering spleen, Appendicitis, Intestinal obstruction, Volvulus
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine
Divisions: FACULTY > Faculty of Medicine and Health Sciences
Depositing User: MDM SITI AZIZAH IDRIS
Date Deposited: 10 Mar 2020 01:44
Last Modified: 16 Apr 2020 16:00
URI: http://eprints.ums.edu.my/id/eprint/25093

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