Acute splenic torsion in children: which is the best treatment? A case report

G. Cecchetto, P. Dall’Igna, C. Dalle Nogare, P. Gasparella, G.F. Zanon
  • G. Cecchetto
    Pediatric Surgery Unit, Department of Pediatrics, University Hospital of Padua, Padova, Italy | giovanni.cecchetto@unipd.it
  • P. Dall’Igna
    Pediatric Surgery Unit, Department of Pediatrics, University Hospital of Padua, Padova, Italy
  • C. Dalle Nogare
    Pediatric Surgery Unit, Department of Pediatrics, University Hospital of Padua, Padova, Italy
  • P. Gasparella
    Pediatric Surgery Unit, Department of Pediatrics, University Hospital of Padua, Padova, Italy
  • G.F. Zanon
    Pediatric Surgery Unit, Department of Pediatrics, University Hospital of Padua, Padova, Italy

Abstract

Wandering spleen is a clinical entity which rarely affects children and adolescents. this condition can be asymptomatic or responsible of chronic pain, but it appears as a surgical emergency when an acute twisting occurs. the risk of post-splenectomy sepsis in the pediatric population suggests a conservative approach whenever possible, and also in case of acute torsion, most authors prefer to preserve the spleen and perform a splenopexy. the Authors describe a case of a child with acute splenic torsion, in whom a conservative surgical approach was initially adopted. the conservative option has to be balanced with the risk of prolonged thrombocytopenia, multiple transfusions and a possible second procedure to remove the spleen.

Keywords

Wandering spleen, acute torsion of the spleen, children, surgery

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Submitted: 2014-11-18 16:11:30
Published: 2012-06-30 00:00:00
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Copyright (c) 2012 G. Cecchetto, P. Dall’Igna, C. Dalle Nogare, P. Gasparella, G.F. Zanon

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