Pediatric wandering spleen successfully treated by laparoscopic splenopexy

Oleg Kleiner, Nitza Newman, Zahavi Cohen

    Research output: Contribution to journalArticlepeer-review

    18 Scopus citations

    Abstract

    Wandering spleen is a rare clinical condition associated with a high incidence of splenic torsion and infarction. The preferred treatment is splenopexy to reposition the spleen in the left upper quadrant of the abdomen. We report the case of a 12-year-old girl who presented with intermittent abdominal pain. An abdominal sonography was diagnostic of wandering spleen. The patient was successfully treated by laparoscopic splenopexy. The spleen was repositioned in the left upper quadrant and fixed to the posterior abdominal wall by a mesh patch attached by staples. To reinforce the splenopexy we created an additional support by plicating the phrenocolic ligament and suturing it to the lateral abdominal wall, making a pouch for the inferior pole of the spleen. The postoperative course was rapid and uneventful. A normal spleen position was verified by radionuclide scans at 3 days and 6 months postoperatively. Laparoscopic splenopexy is an excellent option for organ-preserving treatment in wandering spleen.

    Original languageEnglish
    Pages (from-to)328-330
    Number of pages3
    JournalJournal of Laparoendoscopic and Advanced Surgical Techniques - Part A
    Volume16
    Issue number3
    DOIs
    StatePublished - 1 Jun 2006

    ASJC Scopus subject areas

    • Surgery

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