Case Report

Volume: 5 | Issue: 3 | Published: Mar 29, 2021 | Pages: 93 - 97 | DOI: 10.24911/ejmcr/173-1605284293

Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role


Authors: Valeria Molinelli orcid logo , Marco Calvi orcid logo , Giada Zorzetto , Matteo Annoni orcid logo , Massimo Venturini orcid logo , Eugenio Annibale Genovese orcid logo


Article Info

Authors

Valeria Molinelli

Department of Diagnostic and Interventional Radiology, ASST-Settelaghi, Ospedale di Circolo e Fondazione Macchi, Varese 21100, Italy

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Marco Calvi

Department of Diagnostic and Interventional Radiology, University of Insubria, Varese, 21100, Italy

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Giada Zorzetto

Department of Diagnostic and Interventional Radiology, University of Insubria, Varese, 21100, Italy

Matteo Annoni

Department of Endocrine and Metabolic Surgery, ASST-Settelaghi, Ospedale di Circolo e Fondazione Macchi, Varese, 21100, Italy

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Massimo Venturini

Department of Diagnostic and Interventional Radiology, University of Insubria, Varese, 21100, Italy

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Eugenio Annibale Genovese

Department of Diagnostic and Interventional Radiology, University of Insubria, Varese, 21100, Italy.

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Publication History

Received: November 26, 2020

Accepted: March 16, 2021

Published: March 29, 2021


Abstract


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, green


Pubmed Style

Valeria Molinelli, Marco Calvi, Giada Zorzetto, Matteo Annoni, Massimo Venturini, Eugenio Annibale Genovese. Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role. EJMCR. 2021; 29 (March 2021): 93-97. doi:10.24911/ejmcr/173-1605284293

Web Style

Valeria Molinelli, Marco Calvi, Giada Zorzetto, Matteo Annoni, Massimo Venturini, Eugenio Annibale Genovese. Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role. https://ejmcr.com/articles/1349 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1605284293

AMA (American Medical Association) Style

Valeria Molinelli, Marco Calvi, Giada Zorzetto, Matteo Annoni, Massimo Venturini, Eugenio Annibale Genovese. Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role. EJMCR. 2021; 29 (March 2021): 93-97. doi:10.24911/ejmcr/173-1605284293

Vancouver/ICMJE Style

Valeria Molinelli, Marco Calvi, Giada Zorzetto, Matteo Annoni, Massimo Venturini, Eugenio Annibale Genovese. Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role. EJMCR. (2021), [cited December 25, 2024]; 29 (March 2021): 93-97. doi:10.24911/ejmcr/173-1605284293

Harvard Style

Valeria Molinelli, Marco Calvi, Giada Zorzetto, Matteo Annoni, Massimo Venturini, Eugenio Annibale Genovese (2021) Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role. EJMCR, 29 (March 2021): 93-97. doi:10.24911/ejmcr/173-1605284293

Chicago Style

Valeria Molinelli, Marco Calvi, Giada Zorzetto, Matteo Annoni, Massimo Venturini, Eugenio Annibale Genovese. "Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role." 29 (2021), 93-97. doi:10.24911/ejmcr/173-1605284293

MLA (The Modern Language Association) Style

Valeria Molinelli, Marco Calvi, Giada Zorzetto, Matteo Annoni, Massimo Venturini, Eugenio Annibale Genovese. "Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role." 29.March 2021 (2021), 93-97. Print. doi:10.24911/ejmcr/173-1605284293

APA (American Psychological Association) Style

Valeria Molinelli, Marco Calvi, Giada Zorzetto, Matteo Annoni, Massimo Venturini, Eugenio Annibale Genovese (2021) Acute splenic pedicle torsion involving pancreatic tail: case report and computed tomography diagnostic role. , 29 (March 2021), 93-97. doi:10.24911/ejmcr/173-1605284293