Splenic torsion as cause of acute abdomen in children

Helvind, N.M.; Gögenur, I.; Stadeager, M.

Ugeskrift for Laeger 175(9): 587-588

2013


ISSN/ISBN: 1603-6824
PMID: 23608013
Document Number: 669134
A six-year-old boy was admitted with symptoms consistent with acute appendicitis. Immediately before placement of the first trocar, a large abdominal mass was observed which on imaging was identified as a torsioned spleen. Due to suboptimal reperfusion and risk of reperfusion-mediated morbidity a splenectomy was performed. The recovery was uneventful. The child had a twin brother who on a routine ultrasound examination was found to have a normally positioned spleen. Challenges in diagnosis and treatment of children with splenic torsion is discussed.

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