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Wandering spleen causing gastric outlet obstruction and pancreatitis

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Abstract

Excessive splenic mobility (i.e. wandering spleen) is a rare condition caused by laxity or deficiency of all the spleen’s normal ligamentous attachments in the left hypochondrium. In the pediatric population, a wandering spleen may present as an incidental finding, an abdominal mass or torsion of the vascular pedicle causing venous congestion and acute abdominal pain, and eventually infarction. We present an unusual case of wandering spleen causing pancreatitis and gastric outlet obstruction via direct external compression.

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References

  1. Mayo WJ (1928) A review of 500 splenectomies with special reference to mortality and end results. Ann Surg 88:409–415

    Article  PubMed  CAS  Google Scholar 

  2. Whipple AO (1939) The medical-surgical splenopathies. Bull N Y Acad Med 15:174–176

    PubMed  CAS  Google Scholar 

  3. Stevens WJ, Bortier H, Van Meir F (2000) Anatomy, embryology, histology and physiology of the spleen. In: De Schepper AM, Vanhoenacker F (eds) Medical imaging of the spleen. Springer-Verlag, Berlin

    Google Scholar 

  4. Teramoto R, Opas LM, Andrassy R (1981) Splenic torsion with prune belly syndrome. J Pediatr 98:91–92

    Article  PubMed  CAS  Google Scholar 

  5. Aliabadi H, Foker J, Gonzalez R (1987) Splenic torsion and the prune belly syndrome. Pediatr Surg Int 2:369–371

    Article  Google Scholar 

  6. Gilman RS, Thomas RL (2003) Wandering spleen presenting as acute pancreatitis in pregnancy. Obstet Gynecol 101:1100–1102

    Article  PubMed  Google Scholar 

  7. Lebron R, Self M, Mangram A et al (2008) Wandering spleen presenting as recurrent pancreatitis. JSLS 12:310–313

    PubMed  Google Scholar 

  8. Liu HT, Lau KK (2007) Wandering spleen: an unusual association with gastric volvulus. AJR 188:W328–W330

    Article  PubMed  Google Scholar 

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Correspondence to Ramon Sanchez.

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Sanchez, R., Lobert, P., Herman, R. et al. Wandering spleen causing gastric outlet obstruction and pancreatitis. Pediatr Radiol 40 (Suppl 1), 89–91 (2010). https://doi.org/10.1007/s00247-010-1756-x

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  • DOI: https://doi.org/10.1007/s00247-010-1756-x

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