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CASE REPORT article

Front. Pediatr.
Sec. General Pediatrics and Pediatric Emergency Care
Volume 12 - 2024 | doi: 10.3389/fped.2024.1429490

Wandering spleen combined with pedicle torsion and splenic infarction: a rare case report and literature review

Provisionally accepted
Qian Cui Qian Cui 1Xiaoyan Xu Xiaoyan Xu 2Chang Li Chang Li 2Lihao Tang Lihao Tang 2*
  • 1 Shaoxing Central Hospital, Shaoxing, Zhejiang Province, China
  • 2 Tengzhou Central People's Hospital, Tengzhou, China

The final, formatted version of the article will be published soon.

    Wandering spleen (WS) concurrent with splenic pedicle torsion and infarction has been described rarely. We reported our experience in the diagnosis and treatment of such a condition in a 16-year-old girl with an acute abdominal pain. Plain CT scan showed the wandering of spleen from the left upper quadrant. Contrast enhanced CT indicated dilatation and distortion in the splenic vein, a counter-clockwise ‘whirl sign’ in the splenic pedicle, torsion of pancreatic tail and splenic infarction. The patient was diagnosed with WS combined with splenic pedicle torsion and splenic infarction, and underwent splenectomy for the treatment. She showed satisfactory outcome in the follow-up. To enhance our understanding of it, a comprehensive literature research was performed to summarize the clinical manifestations, treatment options and outcome among the adolescent patients.

    Keywords: Wandering Spleen, Torsion, Infarction, Contrast-enhanced computed tomography, acute

    Received: 08 May 2024; Accepted: 12 Aug 2024.

    Copyright: © 2024 Cui, Xu, Li and Tang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Lihao Tang, Tengzhou Central People's Hospital, Tengzhou, China

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