Wandering spleen: Challenge in differential diagnosis with abdominal tumors: A case report and review of literature
Main Article Content
Abstract
Wandering spleen is a very rare disease, which might lead to a misdiagnosis as other abdominal masses. We report a 40-years-old male presenting to our hospital with chronic pain in the lower abdomen. An abdominal computed tomography scan revealed a solid, contrast-enhanced tumor in the hypogastric region with a size of 50x65mm, and the spleen was not seen at the normal anatomical site. The patient was preoperatively diagnosed with a mesenteric gastrointestinal stromal tumor (GIST) and underwent resection surgery. However, postoperative histopathology was benign splenic tissue. Diagnosis of a wandering spleen can be difficult. In this circumstance, the patient was only diagnosed correctly based on postoperative histopathology.
Article Details
Keywords
Wandering splee, splenectomy
References
2. Puranik AK, Mehra R, Chauhan S, et al. Wandering spleen: a surgical enigma. Gastroenterol Rep. 2017;5(3):241-243. doi:10.1093/gastro/gov034
3. Puglisi F, Potenza A, Melchionda M, et al. Wandering spleen as a cause of acute abdomen: a case report. Chir Ital. 2005;57(3):373-375.
4. Befikadu S, Gudu W, Abseno N. Torsion of a pelvic wandering spleen as a cause of acute abdomen in a woman: a case report and review of the literature. Ethiop Med J. 2004;42(1):53-61.
5. Faridi M, Kumar A, Inam L, et al. Wandering Spleen- A diagnostic Challenge: Case Report and Review of Literature. Malays J Med Sci MJMS. 2014;21(6):57-60.
6. Kaur R, Dua A, Dalal A. Wandering spleen: A rare entity and a diagnostic dilemma. Indian J Radiol Imaging. 2020;30(3):389-391. doi:10.4103/ijri.IJRI_46_20
7. Liu H, Lau K. Wandering spleen: an unusual association with gastric volvulus. AJR Am J Roentgenol. 2007;188(4):W328-330. doi:10.2214/AJR.05.0672
8. Puranik A, Mehra R, Chauhan S, et al. Wandering spleen: a surgical enigma. Gastroenterol Rep. 2017;5(3):241-243. doi:10.1093/gastro/gov034
9. Palanivelu C, Rangarajan M, Senthilkumar R, et al. Laparoscopic Mesh Splenopexy (Sandwich Technique) for Wandering Spleen. JSLS. 2007;11(2):246-251.
10. Stringel G, Soucy P, Mercer S. Torsion of the wandering spleen: splenectomy or splenopexy. J Pediatr Surg. 1982;17(4):373-375. doi:10.1016/s0022-3468(82)80492-2
11. Carswell JW. Wandering spleen: 11 cases from Uganda. Br J Surg. 1974;61(6):495-497. doi:10.1002/bjs.1800610620
12. Buehner M, Baker MS. The wandering spleen. Surg Gynecol Obstet. 1992;175(4):373-387.
13. Allen KB, Andrews G. Pediatric wandering spleen-the case for splenopexy: review of 35 reported cases in the literature. J Pediatr Surg. 1989;24(5):432-435. doi:10.1016/s0022-3468(89)80395-1
14. Morgan S, Glenn I, Soldes O. Laparoscopic splenopexy for wandering spleen, a video demonstration of technique by encircling the spleen with polyglactin 910 woven mesh. Surg Endosc. 2017;31(12):5427-5428. doi:10.1007/s00464-017-5630-x
15. Caracciolo F, Bonatti PL, Castrucci G, et al. Wandering spleen: treatment with colonic displacement. J R Coll Surg Edinb. 1986;31(4):242-244.
16. Soleimani M, Mehrabi A, Kashfi A, et al. Surgical treatment of patients with wandering spleen: report of six cases with a review of the literature. Surg Today. 2007;37(3):261-269. doi:10.1007/s00595-006-3389-0
17. Nawaz A, Jacobsz A, Matta H, et al. Intrauterine torsion of a wandering spleen presenting as an abdominal cystic swelling. J Pediatr Surg. 2000;35(10):1508-1510. doi:10.1053/jpsu.2000.16427