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Revista de cirugía

versión impresa ISSN 2452-4557versión On-line ISSN 2452-4549

Resumen

MAESTRE-SERRANO, Ronald Yesid; ACEVEDO-REYES, Hanner; COHEN-RIOS, Silvio  y  ALVAREZ-JIMENEZ, Jarib. Giant Wandering Spleen with torsion of the pedicle and splenic infarction: A case report. Rev. cir. [online]. 2019, vol.71, n.3, pp.257-260. ISSN 2452-4557.  http://dx.doi.org/10.4067/s2452-45492019000300257.

Background:

The wandering spleen is an uncommon clinical entity. Its clinical spectrum varies from asymptomatic disease to associated complications and its management is predominantly by surgery.

Clinical case:

Man with clinical picture of pain and palpable abdominal mass, with tomographic findings suggestive of pathology with retroperitoneal seating, with secondary intestinal obstruction; by laparotomy incidentally, an ectopic spleen is identified, only fixed through a torsioned vascular pedicle and signs of portal hypertension, performing splenectomy.

Conclusions:

Splenic torsion is the most frequent complication of the errant spleen, a very rare entity with very few cases published in Colombia.

Palabras clave : ectopic spleen; splenectomy; splenomegaly; spleen; acute abdomen.

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