A. Calk et al., INTESTINAL-OBSTRUCTION CAUSED BY SPLENIC VOLVULUS - REPORT OF A CASE, SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY, 26(9), 1996, pp. 704-706
Torsion of a wandering spleen is rare, usually presenting as acute abd
omen, and is commonly misdiagnosed. In special cases, ultrasonography,
arteriography, and additional scintigraphy are extremely valuable in
the preoperative diagnostic management. We herein present an unusual c
ase of torsion of a wandering spleen in a 19-year-old female. The pres
enting symptom was acute gastrointestinal obstruction due to pressure
of the enlarged and ptotic spleen in the pelvis. The intestinal obstru
ction with signs of peritonitis made a laparatomy with removal of the
infarcted spleen imperative. After the operation, the patient made a c
omplete recovery.