Wandering spleen: as a differential diagnosis in pelvic masses

Authors

  • Sunil Motiram Lanjewar Department of General Surgery, IGGMC and Mayo Hospital, Nagpur, Maharashtra, India
  • Dhiraj Sagrule Department of General Surgery, IGGMC and Mayo Hospital, Nagpur, Maharashtra, India
  • Vishal Nandagawali Department of General Surgery, IGGMC and Mayo Hospital, Nagpur, Maharashtra, India
  • Pratik Lawankar Department of General Surgery, IGGMC and Mayo Hospital, Nagpur, Maharashtra, India
  • Kuntal Surana Department of General Surgery, IGGMC and Mayo Hospital, Nagpur, Maharashtra, India
  • Praful Khuje Department of General Surgery, IGGMC and Mayo Hospital, Nagpur, Maharashtra, India
  • Sagar Bhalerao Department of General Surgery, IGGMC and Mayo Hospital, Nagpur, Maharashtra, India
  • Abhinav Debanath Department of General Surgery, IGGMC and Mayo Hospital, Nagpur, Maharashtra, India
  • Sarvagya Mishra Department of General Surgery, IGGMC and Mayo Hospital, Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20163630

Keywords:

Wandering spleen, Hypersplenism, Pelvic mass

Abstract

Wandering spleen is rare, particularly in children, and diagnosis is difficult. It usually occurs at 20 to 40 years of age, and most cases are seen in women. Diagnosis is difficult because of lack of symptoms, unless splenic torsion has occurred. Patients usually have an asymptomatic abdominal mass, an acute abdomen, or, most commonly, a mass associated with pain. Rarely may it present as hypersplenism. Treatment is operative because of complications associated with the condition. Splenopexy or splenectomy can be done. We report a rare case of wandering spleen in an old age women who was treated by splenectomy because of associated hypersplenism.

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Published

2016-12-10