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


Submitted: 18 November 2014
Accepted: 18 November 2014
Published: 30 June 2012
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Authors

  • G. Cecchetto Pediatric Surgery Unit, Department of Pediatrics, University Hospital of Padua, Padova, Italy.
  • 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.
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.

Cecchetto, G., Dall’Igna, P., Dalle Nogare, C., Gasparella, P., & Zanon, G. (2012). Acute splenic torsion in children: which is the best treatment? A case report. La Pediatria Medica E Chirurgica, 34(3). https://doi.org/10.4081/pmc.2012.81

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