2022 Volume 58 Issue 1 Pages 62-67
We present the case of a 7-year-old boy who was previously operated on for diaphragmatic hernia. At 1 year and 6 months, abdominal ultrasonography showed a malpositioned spleen that was located in the sub-hepatic area. Because of poor migration and no findings of splenic infarction and hypersplenism, we followed him up without surgery. However, at the age of 7, MRI showed movement of the spleen to the pelvis, which caused urinary symptoms (frequent urination and enuresis). Moreover, intestinal malrotation was suspected from CT and enema examination findings; thus, we conducted laparoscopic-assisted splenopexy following a retroperitoneal pouch procedure. Since the operation, the organ has remained in place with good perfusion. To the best of our knowledge, this is the first reported case of laparoscopic-assisted splenopexy for wandering spleen complicated by diaphragmatic hernia in Japan.
