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.[1]
Although symptoms include an enlargement in the size of the spleen,[2] or a change from the spleen's original position to another location, usually in either other parts of the abdomen or into the pelvis. This ability to move to other locations is commonly attributed to the spleen's pedicle being abnormally long.[3]
Physical factors may cause ischuria, constipation, as well as numerous spleen-related diseases such as hypersplenism, thrombocytopenia, and lymphoma.[4] Blocking of the arteries and torsion (twisting that interrupts the blood supply to that organ) in the spleen can also result in abdominal pain or swelling.[5] However, lack of visible symptoms — except in incidents of abdominal pain — makes the disease difficult for doctors to diagnose,[6] though medical imaging techniques such as medical ultrasonography, magnetic resonance imaging, or computed tomography can be used to confirm its occurrence. Characteristics of the disorder include the loss, weakening, or malformation of the ligaments[2] that help to keep the spleen located in the upper left part of the abdomen.[citation needed]
Causeedit
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.[2] Wandering spleen (splenoptosis) predisposes the spleen to complications such as torsion, splenic infarction, pancreatic necrosis and rarely pseudocyst formation.[7]
Diagnosisedit
This section is empty. You can help by adding to it. (February 2018)
Treatmentedit
The usual treatment is splenopexy, fixation of the spleen, but if there is no blood flow after unwinding the spleen through detorsion then splenectomy must be performed.[6] Although there have been few reported cases of treatment through laparoscopic surgery due to the rarity of the disease, it has been proven to be an effective surgical technique.[8]
Prevalenceedit
Wandering spleen is most commonly diagnosed in young children[3] as well as women between the ages of 20 and 40.[6] Even so, the disease is very rare and fewer than 500 occurrences of the disease have been reported as of 2005,[3] of which around 148 (including both children and adult cases) were documented to have been from between 1960 and 1992.[4] Less than 0.5% of all splenectomies, surgical removal of the spleen, are performed due to having this disorder. In 1992, the youngest case of the literature of torsion of wandering spleen at two days of birth was reported in Lebanon, by Dr Edouard Sayad.[9]
^ abcHasan Alawi, Malak; Ahmad Khalifa; Sami Hassan Bana (October–December 2005). "Wandering Spleen: A Challenging Diagnosis" (PDF). Pakistan Journal of Medical Sciences. Open Publishing. Retrieved 2007-02-25.
^ abSatyadas T, Nasir N, Bradpiece HA (April 27, 2002). . J. R. Coll. Edinb. 47 (2): 512–4. PMID 12018698. Archived from the original on March 13, 2007. Retrieved March 3, 2007.
^"Wandering spleen". Archived from the original on 2012-02-05. Retrieved 2007-02-26.
^ abcSafioleas MC, Stamatakos MC, Diab AI, Safioleas PM (January 2007). "Wandering spleen with torsion of the pedicle". Saudi Med J. 28 (1): 135–6. PMID 17206307.
^M, Noushif (Jul 2011). . Singapore Med J. 52 (7): e141-2. PMID 21808945. Archived from the original on 2018-02-21. Retrieved 2015-12-20.
^Castellón-Pavón CJ, Valderrábano-González S, Anchústegui-Melgarejo P, et al. (December 2006). "[Laparoscopic splenectomy due to torsion of a wandering spleen]". Cir Esp (in Spanish). 80 (6): 406–8. doi:10.1016/s0009-739x(06)70996-4. PMID 17192227.[permanent dead link]
^Sayad E, Bouchi J, Abou Haidar A (1992). "[Volvulus of a wandering spleen on the 2nd day after birth]". Le Journal Médical Libanais. The Lebanese Medical Journal (in French). 40 (3): 163–5. PMID 1339897.
External linksedit
January 01, 1970
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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 1 Wandering spleenOther namesPelvic spleen displaced spleen drifting spleen splenoptosis floating spleen splenic ptosisA picture of an enlarged spleen taken using medical ultrasonography SpecialtyAngiology CausesConnective tissue disease complications of pregnancy Contents 1 Symptoms and signs 2 Cause 3 Diagnosis 4 Treatment 5 Prevalence 6 Media 7 References 8 External linksSymptoms and signs editAlthough symptoms include an enlargement in the size of the spleen 2 or a change from the spleen s original position to another location usually in either other parts of the abdomen or into the pelvis This ability to move to other locations is commonly attributed to the spleen s pedicle being abnormally long 3 Physical factors may cause ischuria constipation as well as numerous spleen related diseases such as hypersplenism thrombocytopenia and lymphoma 4 Blocking of the arteries and torsion twisting that interrupts the blood supply to that organ in the spleen can also result in abdominal pain or swelling 5 However lack of visible symptoms except in incidents of abdominal pain makes the disease difficult for doctors to diagnose 6 though medical imaging techniques such as medical ultrasonography magnetic resonance imaging or computed tomography can be used to confirm its occurrence Characteristics of the disorder include the loss weakening or malformation of the ligaments 2 that help to keep the spleen located in the upper left part of the abdomen citation needed Cause editThough 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 2 Wandering spleen splenoptosis predisposes the spleen to complications such as torsion splenic infarction pancreatic necrosis and rarely pseudocyst formation 7 Diagnosis editThis section is empty You can help by adding to it February 2018 Treatment editThe usual treatment is splenopexy fixation of the spleen but if there is no blood flow after unwinding the spleen through detorsion then splenectomy must be performed 6 Although there have been few reported cases of treatment through laparoscopic surgery due to the rarity of the disease it has been proven to be an effective surgical technique 8 Prevalence editWandering spleen is most commonly diagnosed in young children 3 as well as women between the ages of 20 and 40 6 Even so the disease is very rare and fewer than 500 occurrences of the disease have been reported as of 2005 3 of which around 148 including both children and adult cases were documented to have been from between 1960 and 1992 4 Less than 0 5 of all splenectomies surgical removal of the spleen are performed due to having this disorder In 1992 the youngest case of the literature of torsion of wandering spleen at two days of birth was reported in Lebanon by Dr Edouard Sayad 9 Media editSusan Mayer in season 2 of the television show Desperate Housewives had an operation to fix her wandering spleen References edit Wandering spleen Genetic and Rare Diseases Information Center GARD an NCATS Program rarediseases info nih gov Retrieved 2018 04 17 a b c Wandering Spleen NORD Retrieved 2007 02 25 a b c Hasan Alawi Malak Ahmad Khalifa Sami Hassan Bana October December 2005 Wandering Spleen A Challenging Diagnosis PDF Pakistan Journal of Medical Sciences Open Publishing Retrieved 2007 02 25 a b Satyadas T Nasir N Bradpiece HA April 27 2002 Wandering spleen case report and literature review J R Coll Edinb 47 2 512 4 PMID 12018698 Archived from the original on March 13 2007 Retrieved March 3 2007 Wandering spleen Archived from the original on 2012 02 05 Retrieved 2007 02 26 a b c Safioleas MC Stamatakos MC Diab AI Safioleas PM January 2007 Wandering spleen with torsion of the pedicle Saudi Med J 28 1 135 6 PMID 17206307 M Noushif Jul 2011 Splenic pseudocyst a rare association with splenoptosis and vertebral segmentation anomalies Singapore Med J 52 7 e141 2 PMID 21808945 Archived from the original on 2018 02 21 Retrieved 2015 12 20 Castellon Pavon CJ Valderrabano Gonzalez S Anchustegui Melgarejo P et al December 2006 Laparoscopic splenectomy due to torsion of a wandering spleen Cir Esp in Spanish 80 6 406 8 doi 10 1016 s0009 739x 06 70996 4 PMID 17192227 permanent dead link Sayad E Bouchi J Abou Haidar A 1992 Volvulus of a wandering spleen on the 2nd day after birth Le Journal Medical Libanais The Lebanese Medical Journal in French 40 3 163 5 PMID 1339897 External links edit Retrieved from https en wikipedia org w index php title Wandering spleen amp oldid 1167200252, wikipedia, wiki, book, books, library,
