The journal of the Japanese Practical Surgeon Society
Online ISSN : 2189-2075
Print ISSN : 0386-9776
ISSN-L : 0386-9776
A CASE OF TORSION OF WANDERING SPLEEN WITH ACUTE ABDOMEN
Masato YOSHIDAHitoshi ENOMOTONobuharu YANABUTohru OHNOYoshinobu YAMASHITAMasayuki HONDASakae ASADA
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1986 Volume 47 Issue 12 Pages 1661-1666

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Abstract
A rare case of wandering spleen was experienced in our clinic. An 8-year-old girl was hospitalized as an emergency case with complaints of severe abdominal pain and vomiting. The patient's general condition deteriorated and preoperative diagnosis was impossible. An emergency laparotomy revealed a large mass with a long twisted pedicle. The mass was diagnosed as a wandering spleen and splenctomy was performed. Considering the patient's age and the important role of the spleen in the immunologic respose to infection, splenic autotransplantation after splenectomy was attempted. The postoperative course was uneventful. Postoperative liver-spleen scan confirmed the presence of regenerated splenic tissue located in the left upper quadrant. We consider that splenic autotransplantation after splenctomy due to wandering spleen could be a significantly useful therapeutic method.
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© Japan Surgical Association
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