Acta Pediatrica Espanola
Volume 64, Issue 5, 2006, Pages 244-248

Wandering spleen [Bazo emigrante] (Review)

Delgado Carrasco J. , Casanova Morcillo A. , Zabalza Alvillos M.R. , Gómez Campderá J.A.*
  • a Sección de Radiodiagnóstico Pediátrico, Hospital Infantil Gregorio Marañón, Universidad Complutense, Madrid, Spain
  • b Sección de Radiodiagnóstico Pediátrico, Hospital Infantil Gregorio Marañón, Universidad Complutense, Madrid, Spain
  • c Sección de Radiodiagnóstico Pediátrico, Hospital Infantil Gregorio Marañón, Universidad Complutense, Madrid, Spain
  • d Sección de Radiodiagnóstico Pediátrico, Hospital Infantil Gregorio Marañón, Universidad Complutense, Madrid, Spain, HGU Gregorio Marañón, Dr. Esquerdo, 46, 28007 Madrid, Spain

Abstract

The authors report a case of wandering spleen in a 10-year-old boy who was brought to the emergency service complaining of abdominal pain and constipation, that had begun several days earlier. On abdominal palpation, a hard, mobile mass was detected and was initially thought to be a fecaloma. However, abdominal radiograph and, particularly, ultrasound revealed a wandering spleen. Splenopexy was performed, but splenic infarction occurred and splenectomy was required. The imaging characteristics of this condition are shown and the diagnostic utility of ultrasound is stressed. We point out that wandering spleen should be taken into account in the differential diagnosis of abdominal masses in children. An exhaustive review of the literature is provided.

Author Keywords

Splenopexy Splenectomy Wandering spleen

Index Keywords

differential diagnosis spleen size abdominal pain human surgical technique abdominal radiography school child palpation male case report Review echography emergency health service disease severity wandering spleen abdominal mass congenital disorder Constipation spleen infarction Physical Examination
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-33749497050&partnerID=40&md5=f34856289f063c2202459d52b84be272
ISSN: 00016640
Original Language: Spanish