Infarcted Wandering Spleen: Case Report from Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia

Mengistu Solomon Sefu; YabsiraMichael Tsegaye; Michael Berega Sibhat

doi:doi:10.11648/j.reports.20230301.12

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Infarcted Wandering Spleen: Case Report from Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia

Mengistu Solomon Sefu, YabsiraMichael Tsegaye, Michael Berega Sibhat

Published in Reports (Volume 3, Issue 1)

Received: 21 February 2023 Accepted: 7 April 2023 Published: 15 April 2023

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Abstract

Wandering spleen or hypermobile spleen results from the elongation or maldevelopment of the spleen’s suspensory ligaments. It is rare clinical entity with fewer cases reports worldwide. It is found mostly in children and in adult it is said to be common in females of reproductive age group. Its clinical presentation is different from asymptomatic palpable abdominal mass, intermittent abdominal discomfort due to torsion and spontaneous detorsion to acute abdomen due to torsion with subsequent ischemia and infarction. Because of the rarity of the condition the patient might end with global spleen infarction with splenectomy unless the physician has high index of suspicion. Here we will present a case report of a 19 year old female patient who presented with abdominal pain, vomiting, nausea, anorexia and fever of 3 days duration. Has abdominal tenderness with leukocytosis and abdominal ultrasound finding of anechoic splenic lesions with peritoneal collection. Due to lack of other imaging modalities, exploratory laparotomy was done with an impression of ruptured splenic abscess. The spleen was frankly infarcted with 720 degrees of torsion with no ligaments attachment. Total splenectomy was done and the patient was vaccinated with pentavalent vaccine during her discharge. Even though wandering spleen is rare conditions, one has to consider as differential diagnosis in patient with acute presentation of left upper quadrant abdominal pain with later generalized. And if possible early high index of suspicion might salvage the spleen.

Published in	Reports (Volume 3, Issue 1)
DOI	10.11648/j.reports.20230301.12
Page(s)	7-10
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Wandering Spleen, Infarcted Spleen, Peritonitis, Exploratory Laparotomy

References

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[2]	LorenzoCrepaz, Alberto Di Leo, Giuseppe Borzellino, Paola Pomini and Michele Genn. The wandering spleen: case report of laparoscopic splenectomy in a pregnant woman. Bulletin of the National Research Centre (2022) 46: 273.
[3]	Jawad M, Yusuf M H, Al Doaibel K A, et al. Wandering Spleen: A Rare Case From the Emergency Department. Cureus 15 (1): 2023.
[4]	Sergi W, D’Ugo S, Marchese TRL, Garritano S, Perrone F, Manoochehri F, Spampinato M. Colonic obstruction caused by wandering spleen: Case report and literature review. Int J Case Rep Images 2021; 12: 101203Z01WS2021.
[5]	MS Ismail. Wandering spleen with splenic vein thrombosis: A Case Report. East Cent. Afr. J. surg. 2016.
[6]	Kariya CM., Fowler DH., Stratton P. Wandering spleen caused by subcapsularhaemorrhage. BMJ Case Rep Published Online: 2018.
[7]	S. Zarrintanet. Al. A wandering spleen presenting as a pelvic mass: case report and review of the literature. VIA MEDICA: 2007.
[8]	Mohammad ShazibFaridi, Ashish Kumar, Lubnainam, Razi Shahid. Wandering Spleen - A diagnostic Challenge: Case Report and Review of Literature. Malays J Med Sci: 2014.
[9]	Soo-Hong Kim, Yong-Hoon Cho, Hae-Young Kim. Two cases of splenic infarction due to torsion of wandering spleen requiring laparoscopic splenectomy in adolescent girls. Pediatr Emerg Med J, 2020.
[10]	Raid Alghamdi, AmerAlzahrnai, AbdulazizAlosaimi, and Ibrahim Albabtain. Infarcted wandering spleen: A case report from Saudi Arabia. Journal of Surgical Case Reports, 2021.
[11]	RaghebAssaf, BaraaShebli, AyhamAlzahran, Ahmad Rami Rahmeh, Ali Mansour, Rama Hamza, EhabAlaasyAlkushti, and KusayAyoub. Acute abdomen due to an infarction of wandering spleen: case report. Journal of Surgical Case Reports, 2020.
[12]	Rey Valle´s YS, Fonseca Sosa FK, Valle´s Gamboa M, Quesada Martı´nez E. Torsio´n de bazoecto´pico. Cir Esp. 2020; 98: 418–419.
[13]	AmanSharma andGisella Salerno. A torted wandering spleen: a case report. Journal of Medical Case Reports 2014.
[14]	Evangelos Koliakos, Xenofon Papazarkadas, Marwan-Julien Sleiman, Ioannis Rotas, and Michel Christodoulou. Wandering Spleen Volvulus: A Case Report and Literature Review of This Diagnostic Challenge. Am J Case Rep, 2020.
[15]	Noemi Cantone, Caterina Gulia, Vittorio Miele, Margherita Trinci, and Vito Briganti. Wandering Spleen and Organoaxial Gastric Volvulus after Morgagni Hernia Repair: A Case Report and Review of the Literature. Hindawi Publishing Corporation Case Reports in Surgery, 2016.
[16]	Ömer Özçağlayan, Tuğbaİlkem Özçağlayan, and Bozkurt Gülek. Contrast-Enhanced Computed Tomographic Findings of the Wandering Spleen: A Case Report. Med Bull Sisli Etfal Hosp 2019; 53 (1): 76–79.
[17]	Leci-Tahiri, L., Tahiri, A., Bajrami, R., &Maxhuni, M. (2013). Acute abdomen due to torsion of the wandering spleen in a patient with Marfan Syndrome. World Journal of Emergency Surgery, 8 (1), 30.

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APA Style

Mengistu Solomon Sefu, YabsiraMichael Tsegaye, Michael Berega Sibhat. (2023). Infarcted Wandering Spleen: Case Report from Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia. Reports, 3(1), 7-10. https://doi.org/10.11648/j.reports.20230301.12

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ACS Style

Mengistu Solomon Sefu; YabsiraMichael Tsegaye; Michael Berega Sibhat. Infarcted Wandering Spleen: Case Report from Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia. Reports. 2023, 3(1), 7-10. doi: 10.11648/j.reports.20230301.12

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AMA Style

Mengistu Solomon Sefu, YabsiraMichael Tsegaye, Michael Berega Sibhat. Infarcted Wandering Spleen: Case Report from Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia. Reports. 2023;3(1):7-10. doi: 10.11648/j.reports.20230301.12

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@article{10.11648/j.reports.20230301.12,
  author = {Mengistu Solomon Sefu and YabsiraMichael Tsegaye and Michael Berega Sibhat},
  title = {Infarcted Wandering Spleen: Case Report from Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia},
  journal = {Reports},
  volume = {3},
  number = {1},
  pages = {7-10},
  doi = {10.11648/j.reports.20230301.12},
  url = {https://doi.org/10.11648/j.reports.20230301.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.reports.20230301.12},
  abstract = {Wandering spleen or hypermobile spleen results from the elongation or maldevelopment of the spleen’s suspensory ligaments. It is rare clinical entity with fewer cases reports worldwide. It is found mostly in children and in adult it is said to be common in females of reproductive age group. Its clinical presentation is different from asymptomatic palpable abdominal mass, intermittent abdominal discomfort due to torsion and spontaneous detorsion to acute abdomen due to torsion with subsequent ischemia and infarction. Because of the rarity of the condition the patient might end with global spleen infarction with splenectomy unless the physician has high index of suspicion. Here we will present a case report of a 19 year old female patient who presented with abdominal pain, vomiting, nausea, anorexia and fever of 3 days duration. Has abdominal tenderness with leukocytosis and abdominal ultrasound finding of anechoic splenic lesions with peritoneal collection. Due to lack of other imaging modalities, exploratory laparotomy was done with an impression of ruptured splenic abscess. The spleen was frankly infarcted with 720 degrees of torsion with no ligaments attachment. Total splenectomy was done and the patient was vaccinated with pentavalent vaccine during her discharge. Even though wandering spleen is rare conditions, one has to consider as differential diagnosis in patient with acute presentation of left upper quadrant abdominal pain with later generalized. And if possible early high index of suspicion might salvage the spleen.},
 year = {2023}
}

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TY - JOUR
T1 - Infarcted Wandering Spleen: Case Report from Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia
AU - Mengistu Solomon Sefu
AU - YabsiraMichael Tsegaye
AU - Michael Berega Sibhat
Y1 - 2023/04/15
PY - 2023
N1 - https://doi.org/10.11648/j.reports.20230301.12
DO - 10.11648/j.reports.20230301.12
T2 - Reports
JF - Reports
JO - Reports
SP - 7
EP - 10
PB - Science Publishing Group
SN - 2994-7146
UR - https://doi.org/10.11648/j.reports.20230301.12
AB - Wandering spleen or hypermobile spleen results from the elongation or maldevelopment of the spleen’s suspensory ligaments. It is rare clinical entity with fewer cases reports worldwide. It is found mostly in children and in adult it is said to be common in females of reproductive age group. Its clinical presentation is different from asymptomatic palpable abdominal mass, intermittent abdominal discomfort due to torsion and spontaneous detorsion to acute abdomen due to torsion with subsequent ischemia and infarction. Because of the rarity of the condition the patient might end with global spleen infarction with splenectomy unless the physician has high index of suspicion. Here we will present a case report of a 19 year old female patient who presented with abdominal pain, vomiting, nausea, anorexia and fever of 3 days duration. Has abdominal tenderness with leukocytosis and abdominal ultrasound finding of anechoic splenic lesions with peritoneal collection. Due to lack of other imaging modalities, exploratory laparotomy was done with an impression of ruptured splenic abscess. The spleen was frankly infarcted with 720 degrees of torsion with no ligaments attachment. Total splenectomy was done and the patient was vaccinated with pentavalent vaccine during her discharge. Even though wandering spleen is rare conditions, one has to consider as differential diagnosis in patient with acute presentation of left upper quadrant abdominal pain with later generalized. And if possible early high index of suspicion might salvage the spleen.
VL - 3
IS - 1
ER -

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Author Information

Mengistu Solomon Sefu

Department of Surgery, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia
YabsiraMichael Tsegaye

Department of Surgery, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia
Michael Berega Sibhat

Department of Surgery, Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia

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APA Style

Mengistu Solomon Sefu, YabsiraMichael Tsegaye, Michael Berega Sibhat. (2023). Infarcted Wandering Spleen: Case Report from Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia. Reports, 3(1), 7-10. https://doi.org/10.11648/j.reports.20230301.12

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ACS Style

Mengistu Solomon Sefu; YabsiraMichael Tsegaye; Michael Berega Sibhat. Infarcted Wandering Spleen: Case Report from Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia. Reports. 2023, 3(1), 7-10. doi: 10.11648/j.reports.20230301.12

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AMA Style

Mengistu Solomon Sefu, YabsiraMichael Tsegaye, Michael Berega Sibhat. Infarcted Wandering Spleen: Case Report from Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia. Reports. 2023;3(1):7-10. doi: 10.11648/j.reports.20230301.12

Copy | Download

@article{10.11648/j.reports.20230301.12,
  author = {Mengistu Solomon Sefu and YabsiraMichael Tsegaye and Michael Berega Sibhat},
  title = {Infarcted Wandering Spleen: Case Report from Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia},
  journal = {Reports},
  volume = {3},
  number = {1},
  pages = {7-10},
  doi = {10.11648/j.reports.20230301.12},
  url = {https://doi.org/10.11648/j.reports.20230301.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.reports.20230301.12},
  abstract = {Wandering spleen or hypermobile spleen results from the elongation or maldevelopment of the spleen’s suspensory ligaments. It is rare clinical entity with fewer cases reports worldwide. It is found mostly in children and in adult it is said to be common in females of reproductive age group. Its clinical presentation is different from asymptomatic palpable abdominal mass, intermittent abdominal discomfort due to torsion and spontaneous detorsion to acute abdomen due to torsion with subsequent ischemia and infarction. Because of the rarity of the condition the patient might end with global spleen infarction with splenectomy unless the physician has high index of suspicion. Here we will present a case report of a 19 year old female patient who presented with abdominal pain, vomiting, nausea, anorexia and fever of 3 days duration. Has abdominal tenderness with leukocytosis and abdominal ultrasound finding of anechoic splenic lesions with peritoneal collection. Due to lack of other imaging modalities, exploratory laparotomy was done with an impression of ruptured splenic abscess. The spleen was frankly infarcted with 720 degrees of torsion with no ligaments attachment. Total splenectomy was done and the patient was vaccinated with pentavalent vaccine during her discharge. Even though wandering spleen is rare conditions, one has to consider as differential diagnosis in patient with acute presentation of left upper quadrant abdominal pain with later generalized. And if possible early high index of suspicion might salvage the spleen.},
 year = {2023}
}

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