Wandering spleen (or Pelvic spleen) is a rare medical disease caused by the loss or weakening of the ligaments that help to hold the spleen stationary.
Background
Wandering spleen is most commonly diagnosed in young children as well as women between the ages of 20 and 40. Even so, the disease is very rare and fewer than 500 occurrences of the disease have been reported as of 2005, of which around 148 (including both children and adult cases) were documented to have been from between 1960 and 1992. Less than 0.5% of all splenectomies, surgical removal of the spleen, are performed due to having this disorder.
Characteristics of the disorder include the loss, weakening, or malformation of the ligaments that help to keep the spleen located in the upper left part of the abdomen. Though not a genetic disease, wandering spleen is often found at birth. It can occur in adults as the result of injuries and other similar conditions that cause the ligaments to weaken, such as connective tissue disease or pregnancy. Wandering spleen (splenoptosis) predisposes the spleen to complications such as torsion, splenic infarction, pancreatic necrosis and rarely pseudocyst formation.
In this radiology lecture, we discuss the CT appearance of wandering spleen!
Key points include:
1) Extremely rare, usually between 20-40 years of age, more common in females.
2) Splenic mobility due to congenital or acquired abnormality of the normal peritoneal attachments/suspensory ligaments.
3) Splenic migration to lower abdomen/pelvis, may develop long vascular pedicle.
4) Twisting of pedicle can lead to splenic ischemia and infarction if not promptly treated.
5) Variable clinical presentation, patients often become symptomatic if torsion of pedicle occurs: Intermittent colicky pain, vague abdominal discomfort, abdominal mass, acute abdomen.
6) Treatment: Surgical detorsion and fixation of spleen (splenopexy), splenectomy may be required in setting of infarction.
Click the Community...
published: 16 Feb 2022
Laparoscopic Splenopexy With Mesh For Wandering Spleen
Timothy J Donahue, DO
published: 25 Sep 2013
A wandering spleen, splenomegaly, hypersplenism, and iron deficiency anaemia
An ectopic spleen gets in the way of a single diagnosis.
Read the full article, A wandering spleen, splenomegaly, hypersplenism, and iron deficiency anaemia on https://www.thelancet.com/journals/lancet/home
Wandering spleen (or Pelvic spleen) is a rare medical disease caused by the loss or weakening of the ligaments that help to hold the spleen stationary. Wandering spleen is also called displaced spleen, drifting spleen, splenoptosis, floating spleen, or splenic ptosis.
The displacement of the wandering spleen from its normal position in the left upper quadrant (LUQ) can occur as a result of laxity in its peritoneal attachments. The absence of splenic suspensory ligaments can be due to congenital anomalies of the dorsal mesogastrium, malformation of the splenic suspensory ligaments in patients with omphalocele or congenital diaphragmatic hernia or acquired secondary to surgeries such as a Nissen fundoplication . The lack of suspensory attachments results in a mobile spleen that can easily to...
published: 01 Nov 2018
Wandering Spleen CTPA
published: 20 Apr 2015
The Wandering Spleen
Can your spleen move??
Listen to Dr. T explaining a rare medical condition called 'The Wandering Spleen'. You can view this video on DrTshares IGTV channel.
Click on https://www.instagram.com/tv/B9cGZS6h7VX/ to watch DrTshares's IGTV channels.
published: 02 May 2020
(Wandering spleen (necrotic
Lap detorsion and open splenectomy, 6 months after para-esophageal hernia repair in a Marfan patient
published: 07 Mar 2020
wandering spleen
wandering spleen-with torsion-lapsplenectomy
published: 03 Jan 2021
Laparoscopic Splenectomy for Wandering spleen with chronic torsion in 16 year old female
Dr. Raad Saad Mohammed Al-Saffar
Laparoscopic and Thyroid Surgeon
Date & place of birth: Najaf 1971
https://dr-raadalsaffar.org
In this radiology lecture, we discuss the CT appearance of wandering spleen!
Key points include:
1) Extremely rare, usually between 20-40 years of age, more co...
In this radiology lecture, we discuss the CT appearance of wandering spleen!
Key points include:
1) Extremely rare, usually between 20-40 years of age, more common in females.
2) Splenic mobility due to congenital or acquired abnormality of the normal peritoneal attachments/suspensory ligaments.
3) Splenic migration to lower abdomen/pelvis, may develop long vascular pedicle.
4) Twisting of pedicle can lead to splenic ischemia and infarction if not promptly treated.
5) Variable clinical presentation, patients often become symptomatic if torsion of pedicle occurs: Intermittent colicky pain, vague abdominal discomfort, abdominal mass, acute abdomen.
6) Treatment: Surgical detorsion and fixation of spleen (splenopexy), splenectomy may be required in setting of infarction.
Click the Community tab or follow on social media for bonus teaching material posted throughout the week!
Website: http://www.radiologistHQ.com
Video Podcast: http://bit.ly/radiologistHQ
Instagram: https://www.instagram.com/radiologistHQ/
Facebook: https://www.facebook.com/radiologistHeadQuarters/
Twitter: https://twitter.com/radiologistHQ
In this radiology lecture, we discuss the CT appearance of wandering spleen!
Key points include:
1) Extremely rare, usually between 20-40 years of age, more common in females.
2) Splenic mobility due to congenital or acquired abnormality of the normal peritoneal attachments/suspensory ligaments.
3) Splenic migration to lower abdomen/pelvis, may develop long vascular pedicle.
4) Twisting of pedicle can lead to splenic ischemia and infarction if not promptly treated.
5) Variable clinical presentation, patients often become symptomatic if torsion of pedicle occurs: Intermittent colicky pain, vague abdominal discomfort, abdominal mass, acute abdomen.
6) Treatment: Surgical detorsion and fixation of spleen (splenopexy), splenectomy may be required in setting of infarction.
Click the Community tab or follow on social media for bonus teaching material posted throughout the week!
Website: http://www.radiologistHQ.com
Video Podcast: http://bit.ly/radiologistHQ
Instagram: https://www.instagram.com/radiologistHQ/
Facebook: https://www.facebook.com/radiologistHeadQuarters/
Twitter: https://twitter.com/radiologistHQ
An ectopic spleen gets in the way of a single diagnosis.
Read the full article, A wandering spleen, splenomegaly, hypersplenism, and iron deficiency anaemia on...
An ectopic spleen gets in the way of a single diagnosis.
Read the full article, A wandering spleen, splenomegaly, hypersplenism, and iron deficiency anaemia on https://www.thelancet.com/journals/lancet/home
An ectopic spleen gets in the way of a single diagnosis.
Read the full article, A wandering spleen, splenomegaly, hypersplenism, and iron deficiency anaemia on https://www.thelancet.com/journals/lancet/home
Wandering spleen (or Pelvic spleen) is a rare medical disease caused by the loss or weakening of the ligaments that help to hold the spleen stationary. Wanderin...
Wandering spleen (or Pelvic spleen) is a rare medical disease caused by the loss or weakening of the ligaments that help to hold the spleen stationary. Wandering spleen is also called displaced spleen, drifting spleen, splenoptosis, floating spleen, or splenic ptosis.
The displacement of the wandering spleen from its normal position in the left upper quadrant (LUQ) can occur as a result of laxity in its peritoneal attachments. The absence of splenic suspensory ligaments can be due to congenital anomalies of the dorsal mesogastrium, malformation of the splenic suspensory ligaments in patients with omphalocele or congenital diaphragmatic hernia or acquired secondary to surgeries such as a Nissen fundoplication . The lack of suspensory attachments results in a mobile spleen that can easily torse around its vascular pedicle, placing the patient at risk of acute infarction of the organ. Patients may be asymptomatic and clinical presentation can be variable; abdominal pain, peritonitis, abscess formation, pancreatitis, or necrosis of the pancreatic tail. Diagnosis of a wandering spleen is difficult given the non-specific clinical presentations. Imaging modalities have included the use of ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI).
The treatment for a wandering spleen is surgical with options including splenopexy or splenectomy. Given the spleen’s role in filtration of red blood cells and mounting immune responses, preservation of the organ is preferable, particularly in children. Several techniques for splenopexy have been described, ranging from the use of mesh; either a single mesh and tacking sutures or a sandwich technique using two meshes, creation of retroperitoneal pouch, or pre-peritoneal pouch with use of adjacent organs to secure kidney to the LUQ.
The following video is of a rare case of wandering spleen with situs inversus. Usually splenectomy is done for symptomatic wandering spleen.
Here we have preserved the spleen by doing splenopxey without mesh.
Department of surgical gastroenterology and general surgery.
Dr P.R.vamsi krishna
Dr P .Jagadish
Kims Nellore
Wandering spleen (or Pelvic spleen) is a rare medical disease caused by the loss or weakening of the ligaments that help to hold the spleen stationary. Wandering spleen is also called displaced spleen, drifting spleen, splenoptosis, floating spleen, or splenic ptosis.
The displacement of the wandering spleen from its normal position in the left upper quadrant (LUQ) can occur as a result of laxity in its peritoneal attachments. The absence of splenic suspensory ligaments can be due to congenital anomalies of the dorsal mesogastrium, malformation of the splenic suspensory ligaments in patients with omphalocele or congenital diaphragmatic hernia or acquired secondary to surgeries such as a Nissen fundoplication . The lack of suspensory attachments results in a mobile spleen that can easily torse around its vascular pedicle, placing the patient at risk of acute infarction of the organ. Patients may be asymptomatic and clinical presentation can be variable; abdominal pain, peritonitis, abscess formation, pancreatitis, or necrosis of the pancreatic tail. Diagnosis of a wandering spleen is difficult given the non-specific clinical presentations. Imaging modalities have included the use of ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI).
The treatment for a wandering spleen is surgical with options including splenopexy or splenectomy. Given the spleen’s role in filtration of red blood cells and mounting immune responses, preservation of the organ is preferable, particularly in children. Several techniques for splenopexy have been described, ranging from the use of mesh; either a single mesh and tacking sutures or a sandwich technique using two meshes, creation of retroperitoneal pouch, or pre-peritoneal pouch with use of adjacent organs to secure kidney to the LUQ.
The following video is of a rare case of wandering spleen with situs inversus. Usually splenectomy is done for symptomatic wandering spleen.
Here we have preserved the spleen by doing splenopxey without mesh.
Department of surgical gastroenterology and general surgery.
Dr P.R.vamsi krishna
Dr P .Jagadish
Kims Nellore
Can your spleen move??
Listen to Dr. T explaining a rare medical condition called 'The Wandering Spleen'. You can view this video on DrTshares IGTV channel.
C...
Can your spleen move??
Listen to Dr. T explaining a rare medical condition called 'The Wandering Spleen'. You can view this video on DrTshares IGTV channel.
Click on https://www.instagram.com/tv/B9cGZS6h7VX/ to watch DrTshares's IGTV channels.
Can your spleen move??
Listen to Dr. T explaining a rare medical condition called 'The Wandering Spleen'. You can view this video on DrTshares IGTV channel.
Click on https://www.instagram.com/tv/B9cGZS6h7VX/ to watch DrTshares's IGTV channels.
In this radiology lecture, we discuss the CT appearance of wandering spleen!
Key points include:
1) Extremely rare, usually between 20-40 years of age, more common in females.
2) Splenic mobility due to congenital or acquired abnormality of the normal peritoneal attachments/suspensory ligaments.
3) Splenic migration to lower abdomen/pelvis, may develop long vascular pedicle.
4) Twisting of pedicle can lead to splenic ischemia and infarction if not promptly treated.
5) Variable clinical presentation, patients often become symptomatic if torsion of pedicle occurs: Intermittent colicky pain, vague abdominal discomfort, abdominal mass, acute abdomen.
6) Treatment: Surgical detorsion and fixation of spleen (splenopexy), splenectomy may be required in setting of infarction.
Click the Community tab or follow on social media for bonus teaching material posted throughout the week!
Website: http://www.radiologistHQ.com
Video Podcast: http://bit.ly/radiologistHQ
Instagram: https://www.instagram.com/radiologistHQ/
Facebook: https://www.facebook.com/radiologistHeadQuarters/
Twitter: https://twitter.com/radiologistHQ
An ectopic spleen gets in the way of a single diagnosis.
Read the full article, A wandering spleen, splenomegaly, hypersplenism, and iron deficiency anaemia on https://www.thelancet.com/journals/lancet/home
Wandering spleen (or Pelvic spleen) is a rare medical disease caused by the loss or weakening of the ligaments that help to hold the spleen stationary. Wandering spleen is also called displaced spleen, drifting spleen, splenoptosis, floating spleen, or splenic ptosis.
The displacement of the wandering spleen from its normal position in the left upper quadrant (LUQ) can occur as a result of laxity in its peritoneal attachments. The absence of splenic suspensory ligaments can be due to congenital anomalies of the dorsal mesogastrium, malformation of the splenic suspensory ligaments in patients with omphalocele or congenital diaphragmatic hernia or acquired secondary to surgeries such as a Nissen fundoplication . The lack of suspensory attachments results in a mobile spleen that can easily torse around its vascular pedicle, placing the patient at risk of acute infarction of the organ. Patients may be asymptomatic and clinical presentation can be variable; abdominal pain, peritonitis, abscess formation, pancreatitis, or necrosis of the pancreatic tail. Diagnosis of a wandering spleen is difficult given the non-specific clinical presentations. Imaging modalities have included the use of ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI).
The treatment for a wandering spleen is surgical with options including splenopexy or splenectomy. Given the spleen’s role in filtration of red blood cells and mounting immune responses, preservation of the organ is preferable, particularly in children. Several techniques for splenopexy have been described, ranging from the use of mesh; either a single mesh and tacking sutures or a sandwich technique using two meshes, creation of retroperitoneal pouch, or pre-peritoneal pouch with use of adjacent organs to secure kidney to the LUQ.
The following video is of a rare case of wandering spleen with situs inversus. Usually splenectomy is done for symptomatic wandering spleen.
Here we have preserved the spleen by doing splenopxey without mesh.
Department of surgical gastroenterology and general surgery.
Dr P.R.vamsi krishna
Dr P .Jagadish
Kims Nellore
Can your spleen move??
Listen to Dr. T explaining a rare medical condition called 'The Wandering Spleen'. You can view this video on DrTshares IGTV channel.
Click on https://www.instagram.com/tv/B9cGZS6h7VX/ to watch DrTshares's IGTV channels.
Wandering spleen (or Pelvic spleen) is a rare medical disease caused by the loss or weakening of the ligaments that help to hold the spleen stationary.
Background
Wandering spleen is most commonly diagnosed in young children as well as women between the ages of 20 and 40. Even so, the disease is very rare and fewer than 500 occurrences of the disease have been reported as of 2005, of which around 148 (including both children and adult cases) were documented to have been from between 1960 and 1992. Less than 0.5% of all splenectomies, surgical removal of the spleen, are performed due to having this disorder.
Characteristics of the disorder include the loss, weakening, or malformation of the ligaments that help to keep the spleen located in the upper left part of the abdomen. Though not a genetic disease, wandering spleen is often found at birth. It can occur in adults as the result of injuries and other similar conditions that cause the ligaments to weaken, such as connective tissue disease or pregnancy. Wandering spleen (splenoptosis) predisposes the spleen to complications such as torsion, splenic infarction, pancreatic necrosis and rarely pseudocyst formation.
“No one wants to face Novak,” he said. “I prefer to be in the other half of the draw.” ... Read more ... De Minaur had a wandering spleen, stunned by the sheer weight of his shots, his speed – famous on the tour – nullified by a man with one and a half legs ... .