Abstract
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.
MeSH terms
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Abdomen, Acute / diagnosis*
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Abdomen, Acute / etiology
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Abdominal Pain / diagnosis
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Abdominal Pain / etiology
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Child
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Diagnosis, Differential
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Humans
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Laparoscopy
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Male
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Spleen / abnormalities*
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Spleen / diagnostic imaging
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Spleen / surgery
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Splenectomy
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Tomography, X-Ray Computed
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Torsion Abnormality / complications
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Torsion Abnormality / diagnosis*
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Torsion Abnormality / diagnostic imaging
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Torsion Abnormality / surgery
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Treatment Outcome
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Wandering Spleen / complications
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Wandering Spleen / diagnosis*
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Wandering Spleen / diagnostic imaging
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Wandering Spleen / surgery