Abstract
Wandering spleen is an uncommon condition, which can present emergently in children.
Similarly, nonparasitic splenic cysts are also rarely encountered. In this report,
we describe a massive wandering spleen (22 cm in longitudinal dimension) with a pseudocyst
(4.6 × 2 cm) in the inferior pole in an asymptomatic 16-year-old adolescent. Only
4 similar cases have been reported in the literature; 2 of them have been in the pediatric
age group. These 2 conditions were diagnosed while she was being evaluated for dysmenorrhea,
and she was referred for surgical consultation. The cyst was excised laparoscopically,
and the spleen was placed into an extraperitoneal pouch. To date, there are no other
reports describing laparoscopic cystectomy and splenopexy in a teenager.
Index words
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References
- Clinical presentation of wandering spleen.J Pediatr Surg. 2002; 37: E30
- Pediatric wandering spleen: case report and review of literature.Clin Pediatr (Phila). 1992; 31: 289-294
- Management of intermittent splenic torsion (“wandering spleen”): a review.Eur J Surg. 1995; 161: 49-52
- Bleeding gastric varices and gastric torsion secondary to a wandering spleen.Gastroenterology. 1980; 79: 141-143
- Recurrent acute pancreatitis: an additional manifestation of the “wandering spleen” syndrome.Am J Gastroenterol. 1996; 91: 1034-1038
- Wandering spleen presenting as duodenal obstruction after repair of congenital diaphragmatic hernia.J Pediatr Surg. 1997; 32: 1790-1792
- Splenic cyst—a classical “incidental finding”.Zentralbl Chir. 1996; 121: 805-816
- Pediatric wandering spleen—the case for splenopexy: review of 35 reported cases in the literature.J Pediatr Surg. 1989; 24: 432-435
- Wandering spleen: anatomic and radiologic considerations.South Med J. 1992; 85: 976-984
- Wandering spleen with torsion of the pedicle.Ann Surg. 1933; 98: 722-735
- Wandering spleen: 11 cases from Uganda.Br J Surg. 1974; 61: 495-497
- Volvulus de rate ectopique.Bull Soc Med Afr Noire Lang Fr. 1966; 11: 860-863
- The wandering spleen in infancy and childhood.Clin Pediatr (Phila). 1980; 19: 221-224
- Torsion of the wandering spleen: splenectomy or splenopexy.J Pediatr Surg. 1982; 17: 373-375
- Elective splenopexy for wandering spleen.J Pediatr Surg. 1990; 25: 270-272
- Wandering spleen: treatment with colonic displacement.J R Coll Surg Edinb. 1986; 31: 242-244
- Laparoscopic splenopexy by peritoneal and omental pouch construction for intermittent splenic torsion (“wandering spleen”).Surg Endosc. 2001; 15 ([electronic publication 2001 Mar 13]): 413
- Sutureless “button and hole” splenopexy.Pediatr Surg Int. 1998; 13: 220-222
- Laparoscopic splenopexy for pediatric wandering spleen.J Pediatr Surg. 1998; 33: 1571-1573
- Laparoscopic splenopexy for wandering (pelvic) spleen.Surg Laparosc Endosc. 1998; 8: 286-290
- Laparoscopic management of the wandering spleen.J Laparoendosc Adv Surg Tech A. 2004; 14: 227-229
- Pediatric wandering spleen successfully treated by laparoscopic splenopexy.J Laparoendosc Adv Surg Tech A. 2006; 16: 328-330
- Laparoscopic splenopexy for adult wandering spleen: sandwich method with two sheets of absorbable knitted mesh.Surg Laparosc Endosc Percutan Tech. 2000; 10: 332-334
- Laparoscopic splenopexy of a pediatric wandering spleen by creation of a retroperitoneal pocket.J Laparoendosc Adv Surg Tech A. 2005; 15: 670-672
- The technique of laparoscopic retroperitoneal splenopexy for symptomatic wandering spleen in childhood.J Pediatr Surg. 2005; 40: 575-577
- Laparoscopic pocket splenopexy for wandering spleen: a case report.J Pediatr Surg. 2005; 40: 882-884
- Laparoscopic splenopexy for wandering spleen: extraperitoneal pocket splenopexy.Pediatr Surg Int. 2006; 22: 931-934
- Laparoscopic management of a large posttraumatic splenic cyst in a child.Surg Endosc. 1999; 13: 1241-1242
- Laparoscopic decapsulation of a large epidermoid splenic cyst in a child using the UltraCision LaparoSonic Coagulating Shears.Pediatr Med Chir. 2002; 24: 59-62
- Laparoscopic partial splenectomies for true splenic cysts. A report of two cases.Surg Endosc. 2000; 14 ([electronic publication 2000 Jul 26]): 865
- Partial laparoscopic decapsulation of congenital splenic cysts. A medium-term evaluation proves the efficiency in children.Surg Endosc. 2004; 18 ([electronic publication 2004 Mar 19]): 626-628
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© 2007 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
