[Torsion of wandering spleen in a teenager: about a case].

Autor: Dème H; Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, Dakar, Sénégal., Akpo LG; Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, Dakar, Sénégal., Fall S; Service de Médecine Interne, CHU Aristide Le Dantec, Dakar, Sénégal., Badji N; Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, Dakar, Sénégal., Ka I; Service de Chirurgie Générale, CHU Aristide Le Dantec, Dakar, Sénégal., Guèye ML; Service de Chirurgie Générale, CHU Aristide Le Dantec, Dakar, Sénégal., Touré MH; Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, Dakar, Sénégal., Niang el H; Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, Dakar, Sénégal.
Jazyk: francouzština
Zdroj: The Pan African medical journal [Pan Afr Med J] 2016 May 05; Vol. 24, pp. 15. Date of Electronic Publication: 2016 May 05 (Print Publication: 2016).
DOI: 10.11604/pamj.2016.24.15.7554
Abstrakt: Wandering or migrating spleen is a rare anomaly which is usually described in children. Complications, which include pedicle torsion, are common and can be life-threatening. We report the case of a 17 year-old patient with a long past medical history of epigastric pain suffering from wandering spleen with chronic torsion of the pedicle. The clinical picture was marked by spontaneously painful epigastric mass, evolved over the past 48 hours. Abdominal ultrasound objectified heterogeneous hypertrophied ectopic spleen in epigastric position and a subcapsular hematoma. Doppler showed a torsion of splenic pedicle which was untwisted 2 turns and a small blood stream on the splenic artery. Abdominal CT scan with contrast injection showed a lack of parenchymal enhancement of large epigastric ectopic spleen and a subcapsular hematoma. The diagnosis of wandering spleen with chronic torsion of the pedicle complicated by necrosis and subcapsular hematoma was confirmed. The patient underwent splenectomy. The postoperative course was uneventful. We here discuss the contribution of ultrasound and CT scan in the diagnosis of wandering spleen with chronic torsion of the pedicle.
Databáze: MEDLINE
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