WANDERING SPLEEN PRESENTING AS DUODENAL OBSTRUCTION AFTER REPAIR OF CONGENITAL DIAPHRAGMATIC-HERNIA

The most common presentation of the wandering spleen in children is to rsion with infarction. Duodenal obstruction by the spleen has not been reported previously. Wandering spleen can accompany congenital diaphr agmatic hernia (CDH) because of its loss of retroperitoneal fixation. If absence of normal splenic fixation is found during repair of CDH, s plenopexy should be performed to eliminate the risk of torsion, infarc tion, or, as described here, duodenal obstruction. Copyright (C) 1997 by W.B. Saunders Company.