CASE REPORT article
Front. Surg.
Sec. Pediatric Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1586986
Ultrasonographic diagnosis of splenic torsion: a case report
Provisionally accepted
Zhiyan Di*
Shasha Zhao- Baoding Hospital, Beijing Children’s Hospital, Capital Medical University, Baoding, China
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We report an exceptional case of 900°splenic-torsion with accessory spleen in a 17-month-old girl presenting with nonspecific vomiting and fever. Initial CT suggested an abdominal mass, ultrasonography definitively diagnosed splenic torsion through characteristic findings: absent parenchymal flow, twisted hilar vessels ("whirlpool sign"), and preserved accessory spleen perfusion. This case highlights ultrasound's superior diagnostic capability over CT for pediatric splenic torsion, particularly in demonstrating dynamic vascular compromise. The report emphasizes key sonographic criteria and the critical 6-hour window for salvageable splenic ischemia.
Keywords: Splenic torsion, pediatric ultrasound, Whirlpool sign, Wandering Spleen, emergency
Received: 03 Mar 2025; Accepted: 31 May 2025.
Copyright: © 2025 Di and Zhao. 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: Zhiyan Di, Baoding Hospital, Beijing Children’s Hospital, Capital Medical University, Baoding, China
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