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
, Marco Calvi
, Giada Zorzetto
, Matteo Annoni
, Massimo Venturini
, Eugenio Annibale Genovese
Article Info
Authors
Valeria Molinelli
Department of Diagnostic and Interventional Radiology, ASST-Settelaghi, Ospedale di Circolo e Fondazione Macchi, Varese 21100, Italy
Marco Calvi
Department of Diagnostic and Interventional Radiology, University of Insubria, Varese, 21100, Italy
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
Massimo Venturini
Department of Diagnostic and Interventional Radiology, University of Insubria, Varese, 21100, Italy
Eugenio Annibale Genovese
Department of Diagnostic and Interventional Radiology, University of Insubria, Varese, 21100, Italy.
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
