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Inicio Cirugía Española (English Edition) Massive splenic infarction in a wandering spleen: A rare indication for emergenc...
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Vol. 98. Issue 10.
Pages 627 (December 2020)
Vol. 98. Issue 10.
Pages 627 (December 2020)
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Massive splenic infarction in a wandering spleen: A rare indication for emergency splenectomy
Infarto esplénico masivo en bazo errante: una indicación infrecuente de esplenectomía de urgencia
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María Pérez Reyes
Corresponding author
maria.perezreyes1991@gmail.com

Corresponding author.
, Juan Antonio Blanco Elena, Irene Mirón Fernández, Julio Santoyo Santoyo
Hospital Regional Universitario de Málaga, Málaga, Spain
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An 18-year-old woman with a history of delayed maturation came to the emergency department for pain in the left hypochondrium over the previous 4 days and fever. On examination, she presented pain in the left iliac fossa, where a well-defined rounded mass was palpable. Lab work showed 15000 leukocytes/μL and CRP 154mg/L.

CT scan revealed a wandering spleen with torsion of the vascular pedicle and massive secondary infarction (Fig. 1). During urgent surgery, an ischemic wandering spleen was observed at the level of the pelvis, with complete hilar torsion (Fig. 2). Detorsion and splenectomy were performed, and the patient’s condition progressed favorably.

Figure 1
(0.07MB).
Figure 2
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The etiology of wandering spleen is the absence or abnormal development of the suspensory ligaments of the spleen.

Please cite this article as: Pérez Reyes M, Blanco Elena JA, Mirón Fernández I, Santoyo Santoyo J. Infarto esplénico masivo en bazo errante: una indicación infrecuente de esplenectomía de urgencia. Cir Esp. 2020;98:627.

Copyright © 2020. AEC
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