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01-03-2004 | Case report

Laparoscopic splenectomy for the treatment of wandering spleen

Authors: F. Corcione, P. Caiazzo, D. Cuccurullo, L. Miranda, A. Settembre, F. Pirozzi, G. Bruzzese

Published in: Surgical Endoscopy | Issue 3/2004

Abstract

Wandering spleen is a very rare pathologic condition that initially presents with unremarkable clinical symptoms, then dramatically manifests severe complications. A case of wandering spleen treated with laparoscopic splenectomy is described and compared with other similar reports in the literature. Laparoscopic exploration of the abdominal cavity allowed the diagnosis to be confirmed and splenectomy to be performed. An enlarged spleen led to the choice of total splenectomy to avoid both future complications and future organ torsion resulting from the long and twisted vascular pedicle. The laparoscopic approach led to a rapid recovery, a 3-day postoperative course, and satisfactory cosmetic results.

Angeras, U, Almskog, B, Lukes, P, Lundstam, S, Weiss, L 1984Acute gastric hemorrhage secondary to wandering spleen.Dig Dis Sci2911591163PubMed

Benevento, A, Boni, L, Dionigi, G, Ferrari, A, Dionigi, R 2002Emergency laparoscopic splenectomy for “wandering” (pelvic) spleen.Surg Endosc1613641365

Blanc, C, Delvaux, M, Aggadi, Y, Lagier, E, Gonzales, N, Fourtanier, G, Frexinos, J 1999Splenic infarction by torsion of its pedicle: the wandering spleen syndrome.Gastroenterol Clin Biol23585586PubMed

Cohen, MS, Soper, NJ, Underwood, RA, Quasebarth, M, Brunt, LM 1998Laparoscopic splenopexy for wandering (pelvic) spleen.Surg Laparosc Endosc8286290CrossRefPubMed

Corcione, F, Esposito, C, Cuccurullo, D, Settembre, A, Miranda, L, Capasso, P, Piccolboni, D 2002Technical standardization of laparoscopic splenectomy: experience with 105 cases.Surg Endosc16972974CrossRefPubMed

Esposito, C, Corcione, F, Ascione, G, Garipoli, V, Di Pietto, F, De Pasquale, M 1998Splenectomy in childhood: the laparoscopic approach.Surg Endosc1214451448CrossRefPubMed

Esposito, C, Corcione, F, Garipoli, V, Ascione, G 1997Pediatric laparoscopic splenectomy: are there real advantages in comparison with the traditional open approach?Pediatr Surg Int12509510CrossRefPubMed

Gurski, RR, Schirmer, CC, Fischer, CA, Thofehrn, R, Osvaldt, AB, Padoin, A, Portinho, CP, Cruel, CD 1998Laparoscopic approach to wandering spleen: a case report and an update to the question.Surg Laparosc Endosc8363365CrossRefPubMed

Habib, E, Bellaiche, G, Fouet, P, Elhadad, A 2001Hematemesis revealing chronic volvulus of a wandering spleen.Ann Chir126896898CrossRefPubMed

10.

Haj, M, Bickel, A, Weiss, M, Eitan, A 1999Laparoscopic splenopexy of a wandering spleen.J Laparoendosc Adv Surg Tech A9357360PubMed

11.

Hirose, R, Kitano, S, Bando, T, Ueda, Y, Sato, K, Yoshida, T, Suenobu, S, Kawano, T, Izumi, T 1998Laparoscopic splenopexy for pediatric wandering spleen.J Pediatr Surg3315711573PubMed

12.

Nomura, H, Haji, S, Kuroda, D, Yasuda, K, Ohyanagi, H, Kudo, M 2000Laparoscopic splenopexy for adult wandering spleen: sandwich method with two sheets of absorbable knitted mesh.Surg Laparosc Endosc Percutan Tech10332334CrossRefPubMed

13.

Peitgen, K, Majetschak, M, Walz, MK 2001Laparoscopic splenopexy by peritoneal and omental pouch construction for intermittent splenic torsion (“wandering spleen”).Surg Endosc15413

14.

Pelizzo, G, Lembo, MA, Franchella, A, Giombi, A, D’Agostino, F, Sala, S 2001Gastric volvulus associated with congenital diaphragmatic hernia, wandering spleen, and intrathoracic left kidney: CT findings.Abdom Imaging26306308CrossRefPubMed

15.

Rosin, D, Bank, I, Gayer, G, Rimon, U, Gur, D, Kuriansky, Y, Morag, B, Ayalon, A 2002Laparoscopic splenectomy for torsion of wandering spleen associated with celiac axis occlusion.Surg Endosc161110CrossRef

16.

Sayeed, S, Koniaris, LG, Kovach, SJ, Hirokawa, T 2002Torsion of a wandering spleen.Surgery132535536PubMed

17.

Steinberg, R, Karmazyn, B, Dlugy, E, Gelber, E, Freud, E, Horev, G, Zer, M 2002Clinical presentation of wandering spleen.J Pediatr Surg37..

18.

Stringel, G, Soucy, P, Mercer, S 1982Torsion of the wandering spleen: splenectomy or splenopexy.J Pediatr Surg17373375PubMed

19.

Tashjian, DB, Moriarty, KP 2001Gastric volvulus associated with wandering spleen in a child.J Pediatr Surg361468

Title: Laparoscopic splenectomy for the treatment of wandering spleen
Authors: F. Corcione
P. Caiazzo
D. Cuccurullo
L. Miranda
A. Settembre
F. Pirozzi
G. Bruzzese
Publication date: 01-03-2004
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 3/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-003-4254-5

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Springer Medicine

Laparoscopic splenectomy for the treatment of wandering spleen

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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