Le syndrome de la rate baladeuse : cas clinique
| Autor: | C Dingremont, M Tissier, R Gailleton, K Arouch, J-T Giraud |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment fungi Splenectomy Gastroenterology Spleen Physical examination Splenopexy medicine.disease Surgery Volvulus 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Splenic infarction Internal Medicine medicine Portal hypertension 030211 gastroenterology & hepatology Wandering spleen business |
| Zdroj: | La Revue de Médecine Interne. 42:285-287 |
| ISSN: | 0248-8663 |
| DOI: | 10.1016/j.revmed.2020.11.010 |
| Popis: | Introduction Wandering spleen is a rare condition that occurs when there is an acquired or congenital hypelaxity of the suspensory ligaments of the spleen, resulting in its migration to any abdominal or pelvic position. Case report A 43-year-old woman presented with symptoms of acute abdominal pain. At physical examination, a splenomegaly was found in the left hypochondria, thereafter followed by a secondary migration of the lump to a periumbilical location. Computed tomography revealed a wandering spleen with vascular pedicle torsion. Splenopexia was perfomed. Conclusion A wandering spleen is most frequently observed in children and young women. This rare diagnosis should be considered facing a recurrent abdominal pain syndrome, a splenomegaly accompanied with pain, or a pelvic lump. A wandering spleen may lead to torsion of the vascular pedicle of the spleen, a chronic volvulus with portal hypertension, or even a splenic infarction. The diagnosis is performed by computed tomography. Wandering spleen is treated surgically, by splenopexy or splenectomy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect