Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role
Authors: Valeria Molinelli, Marco Calvi, Giada Zorzetto, Matteo Annoni, Massimo Venturini, Eugenio Annibale Genovese
Background: Wandering spleen is an unusual condition characterized by hypermobility of the spleen. Excessive mobility can cause torsion of the vascular pedicle with subsequent complications such as ischemia and necrosis. Clinical manifestations can vary from asymptomatic to abdominal emergency and treatment is often surgical. Case Presentation: We presented a case report of splenic torsion in a 24-year-old woman with complaints of upper abdominal pain associated with mild left hypochondrial tenderness. Laboratory testing and ultrasound were completely negative making the diagnosis difficult. A computed tomography (CT) scan was carried out due to worsening symptoms and it demonstrated a splenic torsion with involvement of the distal part of the pancreatic tail. Surgery was performed by laparoscopic splenectomy. No signs of pancreatitis were found. Conclusion: Splenic torsion is a rare but important differential diagnosis in patients with an acute abdomen and CT is often necessary to achieve the correct diagnosis and exclude possible complications.
Keywords: Wandering, torsion, pancreas, spleen, acute abdomen.
Authors
Valeria Molinelli
Department of Diagnostic and Interventional Radiology, ASST-Settelaghi, Ospedale di Circolo e Fondazione Macchi, Varese 21100, Italy
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Correspondence to:
Marco Calvi, Department of Diagnostic and Interventional Radiology, University of Insubria, Varese, 21100, Italy dr.marco.calvi@icloud.com
Publication history:
Received 26 Nov 2020
Revised 06 Feb 2021
Accepted 16 Mar 2021
Published online 29 Mar 2021
Published in print 31 Mar 2021
Molinelli V, Calvi M, Zorzetto G, Annoni M, Venturini M, Genovese EA. Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role. EJMCR. 2021; 5(3): 93-97. doi:
10.24911/ejmcr/173-1605284293
Molinelli V, Calvi M, Zorzetto G, Annoni M, Venturini M, Genovese EA. Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role. https://www.ejmcr.com/?mno=30348 [Access: April 26, 2024]. doi:
10.24911/ejmcr/173-1605284293
Molinelli V, Calvi M, Zorzetto G, Annoni M, Venturini M, Genovese EA. Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role. EJMCR. 2021; 5(3): 93-97. doi:
10.24911/ejmcr/173-1605284293
Molinelli V, Calvi M, Zorzetto G, Annoni M, Venturini M, Genovese EA. Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role. EJMCR. (2021), [cited April 26, 2024]; 5(3): 93-97. doi:
10.24911/ejmcr/173-1605284293
Molinelli, V., Calvi, . M., Zorzetto, . G., Annoni, . M., Venturini, . M. & Genovese, . E. A. (2021) Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role. EJMCR, 5 (3), 93-97. doi:
10.24911/ejmcr/173-1605284293
Molinelli, Valeria, Marco Calvi, Giada Zorzetto, Matteo Annoni, Massimo Venturini, and Eugenio Annibale Genovese. 2021. Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role. European Journal of Medical Case Reports, 5 (3), 93-97. doi:
10.24911/ejmcr/173-1605284293
Molinelli, Valeria, Marco Calvi, Giada Zorzetto, Matteo Annoni, Massimo Venturini, and Eugenio Annibale Genovese. "Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role." European Journal of Medical Case Reports 5 (2021), 93-97. doi:
10.24911/ejmcr/173-1605284293
Molinelli, Valeria, Marco Calvi, Giada Zorzetto, Matteo Annoni, Massimo Venturini, and Eugenio Annibale Genovese. "Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role." European Journal of Medical Case Reports 5.3 (2021), 93-97. Print. doi:
10.24911/ejmcr/173-1605284293
Molinelli, V., Calvi, . M., Zorzetto, . G., Annoni, . M., Venturini, . M. & Genovese, . E. A. (2021) Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role. European Journal of Medical Case Reports, 5 (3), 93-97. doi:
10.24911/ejmcr/173-1605284293