Wandering Spleen with Torsion Causing Pancreatic Volvulus and Associated Intrathoracic Gastric Volvulus: An Unusual Triad and Cause of Acute Abdominal Pain

Yashant Aswani; Karan Manoj Anandpara; Priya Hira

doi:10.6092/1590-8577/2905

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Wandering Spleen with Torsion Causing Pancreatic Volvulus and Associated Intrathoracic Gastric Volvulus: An Unusual Triad and Cause of Acute Abdominal Pain

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Wandering Spleen with Torsion Causing Pancreatic Volvulus and Associated Intrathoracic Gastric Volvulus: An Unusual Triad and Cause of Acute Abdominal Pain

Yashant Aswani, Karan Manoj Anandpara and Priya Hira

Journal of the Pancreas, Vol.16(1), pp.78-80

01/01/2015

DOI: 10.6092/1590-8577/2905

PMID: 25640790

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Abstract

Context Wandering spleen is a rare medical entity in which the spleen is orphaned of its usual peritoneal attachments and thus assumes an ever wandering and hypermobile state. This laxity of attachments may even cause torsion of the splenic pedicle. Both gastric volvulus and wandering spleen share a common embryology owing to mal development of the dorsal mesentery. Gastric volvulus complicating a wandering spleen is, however, an extremely unusual association, with a few cases described in literature. Case Report We report a case of a young female who presented with acute abdominal pain and vomiting. Radiological imaging revealed an intrathoracic gastric volvulus, torsion in an ectopic spleen, and additionally demonstrated a pancreatic volvulus - an unusual triad, reported only once, causing an acute abdomen. The patient subsequently underwent an emergency surgical laparotomy with splenopexy and gastropexy. Conclusion Imaging is a must for definitive diagnosis of wandering spleen and the associated pathologic conditions. Besides, a prompt surgical management circumvents inadvertent outcomes.

Gastroenterology & Hepatology

Life Sciences & Biomedicine

Science & Technology

Details

Title: Subtitle: Wandering Spleen with Torsion Causing Pancreatic Volvulus and Associated Intrathoracic Gastric Volvulus: An Unusual Triad and Cause of Acute Abdominal Pain
Creators: Yashant Aswani - King Edward Memorial Hospital and Seth G.S. Medical College
Karan Manoj Anandpara - King Edward Memorial Hospital and Seth G.S. Medical College
Priya Hira - Department of Preventive and Social Medicine, Seth GS Medical College and KEM Hospital. Mumbai, Maharashtra, India
Resource Type: Journal article
Publication Details: Journal of the Pancreas, Vol.16(1), pp.78-80
DOI: 10.6092/1590-8577/2905
PMID: 25640790
NLM abbreviation: JOP
ISSN: 1590-8577
eISSN: 1590-8577
Publisher: E S Burioni Ricerche Bibliografiche
Number of pages: 3
Language: English
Date published: 01/01/2015
Academic Unit: Radiology
Record Identifier: 9984318715102771

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