Mass at the splenic hilum: A clue to torsion of a wandering spleen located in a normal left upper quadrant position
Wandering spleen is an extremely rare condition in which the spleen is lacking its normal ligamentous attachments and therefore can move to an ectopic position in the abdomen or pelvis. Wandering spleen predisposes the patient to life-threatening complications due to torsion of the spleen's vas...
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| Veröffentlicht in: | Journal of ultrasound in medicine 2003-05, Vol.22 (5), p.527-530 |
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| container_title | Journal of ultrasound in medicine |
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| creator | KESSLER, Ada MILLER, Elka KEIDAR, Sergei BLACHAR, Arye BEN SIRA, Liat WEINBERG, Mark RACHMEL, Avinoam |
| description | Wandering spleen is an extremely rare condition in which the spleen is lacking its normal ligamentous attachments and therefore can move to an ectopic position in the abdomen or pelvis. Wandering spleen predisposes the patient to life-threatening complications due to torsion of the spleen's vascular pedicle, with resulting splenic infarction, portal hypertension, and bleeding. Because of the nonspecific symptoms, imaging plays an important role. To our knowledge, only a few case reports describing wandering spleen in the pediatric population have been published, including 2 cases in infancy. We report a case of splenic torsion in an infant with a preoperative diagnosis made on the basis of color and power Doppler sonography. The diagnosis was confirmed by contrast-enhanced helical computed tomography (CT) and proved at surgery. On sonography, a diffusely hypoechoic spleen and a mass at the splenic hilum representing the torsed splenic pedicle were shown. The splenic hilar mass correlates with the CT "whirl" sign indicative of torsion. |
| doi_str_mv | 10.7863/jum.2003.22.5.527 |
| format | Article |
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Wandering spleen predisposes the patient to life-threatening complications due to torsion of the spleen's vascular pedicle, with resulting splenic infarction, portal hypertension, and bleeding. Because of the nonspecific symptoms, imaging plays an important role. To our knowledge, only a few case reports describing wandering spleen in the pediatric population have been published, including 2 cases in infancy. We report a case of splenic torsion in an infant with a preoperative diagnosis made on the basis of color and power Doppler sonography. The diagnosis was confirmed by contrast-enhanced helical computed tomography (CT) and proved at surgery. On sonography, a diffusely hypoechoic spleen and a mass at the splenic hilum representing the torsed splenic pedicle were shown. The splenic hilar mass correlates with the CT "whirl" sign indicative of torsion.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.7863/jum.2003.22.5.527</identifier><identifier>PMID: 12751865</identifier><identifier>CODEN: JUMEDA</identifier><language>eng</language><publisher>Laurel, MD: American Institute of Ultrasound in Medicine</publisher><subject>Abdomen ; Biological and medical sciences ; Choristoma - diagnostic imaging ; Choristoma - surgery ; Diagnosis, Differential ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Infant ; Male ; Medical sciences ; Other diseases. Semiology ; Spleen - diagnostic imaging ; Splenectomy ; Splenic Diseases - diagnostic imaging ; Splenic Diseases - surgery ; Torsion Abnormality - diagnosis ; Torsion Abnormality - diagnostic imaging ; Torsion Abnormality - surgery ; Ultrasonography</subject><ispartof>Journal of ultrasound in medicine, 2003-05, Vol.22 (5), p.527-530</ispartof><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c279t-17edf7236b485b016b2bdf82cfeaec943831da45aec5bea631665bf2aa9fc4c43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14751108$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12751865$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KESSLER, Ada</creatorcontrib><creatorcontrib>MILLER, Elka</creatorcontrib><creatorcontrib>KEIDAR, Sergei</creatorcontrib><creatorcontrib>BLACHAR, Arye</creatorcontrib><creatorcontrib>BEN SIRA, Liat</creatorcontrib><creatorcontrib>WEINBERG, Mark</creatorcontrib><creatorcontrib>RACHMEL, Avinoam</creatorcontrib><title>Mass at the splenic hilum: A clue to torsion of a wandering spleen located in a normal left upper quadrant position</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>Wandering spleen is an extremely rare condition in which the spleen is lacking its normal ligamentous attachments and therefore can move to an ectopic position in the abdomen or pelvis. Wandering spleen predisposes the patient to life-threatening complications due to torsion of the spleen's vascular pedicle, with resulting splenic infarction, portal hypertension, and bleeding. Because of the nonspecific symptoms, imaging plays an important role. To our knowledge, only a few case reports describing wandering spleen in the pediatric population have been published, including 2 cases in infancy. We report a case of splenic torsion in an infant with a preoperative diagnosis made on the basis of color and power Doppler sonography. The diagnosis was confirmed by contrast-enhanced helical computed tomography (CT) and proved at surgery. On sonography, a diffusely hypoechoic spleen and a mass at the splenic hilum representing the torsed splenic pedicle were shown. The splenic hilar mass correlates with the CT "whirl" sign indicative of torsion.</description><subject>Abdomen</subject><subject>Biological and medical sciences</subject><subject>Choristoma - diagnostic imaging</subject><subject>Choristoma - surgery</subject><subject>Diagnosis, Differential</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Other diseases. Semiology</subject><subject>Spleen - diagnostic imaging</subject><subject>Splenectomy</subject><subject>Splenic Diseases - diagnostic imaging</subject><subject>Splenic Diseases - surgery</subject><subject>Torsion Abnormality - diagnosis</subject><subject>Torsion Abnormality - diagnostic imaging</subject><subject>Torsion Abnormality - surgery</subject><subject>Ultrasonography</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkM1q3TAQRkVpSW7SPEA3RZt2Z1c_lmV3F0LbFFK6SddiLI8aBVl2JJmSt4_SXAgMDMOc71scQj5w1uqhl1_u96UVjMlWiFa1Sug35MCVYs3Yc_mWHJjQQ9OJUZ-Ss5zvGROM6-6EnHKhFR96dSD5F-RModByhzRvAaO39M6HfflKL6kNO9Ky1knZr5GujgL9B3HG5OPf_zxGGlYLBWfqY_3GNS0QaEBX6L5tmOjDDnOCWOi2Zl9qzXvyzkHIeHHc5-TP92-3V9fNze8fP68ubxor9FgarnF2Wsh-6gY1Md5PYprdIKxDQDt2cpB8hk7VQ00IveR9ryYnAEZnO9vJc_L5pXdL68OOuZjFZ4shQMR1z0ZLyYUaeAX5C2jTmnNCZ7bkF0iPhjPzbNpU0-bZtBHCKFNN18zHY_k-LTi_Jo5qK_DpCEC2EFxVYH1-5brKcTbIJ-QmiO8</recordid><startdate>20030501</startdate><enddate>20030501</enddate><creator>KESSLER, Ada</creator><creator>MILLER, Elka</creator><creator>KEIDAR, Sergei</creator><creator>BLACHAR, Arye</creator><creator>BEN SIRA, Liat</creator><creator>WEINBERG, Mark</creator><creator>RACHMEL, Avinoam</creator><general>American Institute of Ultrasound in Medicine</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030501</creationdate><title>Mass at the splenic hilum: A clue to torsion of a wandering spleen located in a normal left upper quadrant position</title><author>KESSLER, Ada ; MILLER, Elka ; KEIDAR, Sergei ; BLACHAR, Arye ; BEN SIRA, Liat ; WEINBERG, Mark ; RACHMEL, Avinoam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c279t-17edf7236b485b016b2bdf82cfeaec943831da45aec5bea631665bf2aa9fc4c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Abdomen</topic><topic>Biological and medical sciences</topic><topic>Choristoma - diagnostic imaging</topic><topic>Choristoma - surgery</topic><topic>Diagnosis, Differential</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Other diseases. Semiology</topic><topic>Spleen - diagnostic imaging</topic><topic>Splenectomy</topic><topic>Splenic Diseases - diagnostic imaging</topic><topic>Splenic Diseases - surgery</topic><topic>Torsion Abnormality - diagnosis</topic><topic>Torsion Abnormality - diagnostic imaging</topic><topic>Torsion Abnormality - surgery</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KESSLER, Ada</creatorcontrib><creatorcontrib>MILLER, Elka</creatorcontrib><creatorcontrib>KEIDAR, Sergei</creatorcontrib><creatorcontrib>BLACHAR, Arye</creatorcontrib><creatorcontrib>BEN SIRA, Liat</creatorcontrib><creatorcontrib>WEINBERG, Mark</creatorcontrib><creatorcontrib>RACHMEL, Avinoam</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of ultrasound in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KESSLER, Ada</au><au>MILLER, Elka</au><au>KEIDAR, Sergei</au><au>BLACHAR, Arye</au><au>BEN SIRA, Liat</au><au>WEINBERG, Mark</au><au>RACHMEL, Avinoam</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mass at the splenic hilum: A clue to torsion of a wandering spleen located in a normal left upper quadrant position</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>2003-05-01</date><risdate>2003</risdate><volume>22</volume><issue>5</issue><spage>527</spage><epage>530</epage><pages>527-530</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><coden>JUMEDA</coden><abstract>Wandering spleen is an extremely rare condition in which the spleen is lacking its normal ligamentous attachments and therefore can move to an ectopic position in the abdomen or pelvis. Wandering spleen predisposes the patient to life-threatening complications due to torsion of the spleen's vascular pedicle, with resulting splenic infarction, portal hypertension, and bleeding. Because of the nonspecific symptoms, imaging plays an important role. To our knowledge, only a few case reports describing wandering spleen in the pediatric population have been published, including 2 cases in infancy. We report a case of splenic torsion in an infant with a preoperative diagnosis made on the basis of color and power Doppler sonography. The diagnosis was confirmed by contrast-enhanced helical computed tomography (CT) and proved at surgery. On sonography, a diffusely hypoechoic spleen and a mass at the splenic hilum representing the torsed splenic pedicle were shown. The splenic hilar mass correlates with the CT "whirl" sign indicative of torsion.</abstract><cop>Laurel, MD</cop><pub>American Institute of Ultrasound in Medicine</pub><pmid>12751865</pmid><doi>10.7863/jum.2003.22.5.527</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Abdomen Biological and medical sciences Choristoma - diagnostic imaging Choristoma - surgery Diagnosis, Differential Gastroenterology. Liver. Pancreas. Abdomen Humans Infant Male Medical sciences Other diseases. Semiology Spleen - diagnostic imaging Splenectomy Splenic Diseases - diagnostic imaging Splenic Diseases - surgery Torsion Abnormality - diagnosis Torsion Abnormality - diagnostic imaging Torsion Abnormality - surgery Ultrasonography |
| title | Mass at the splenic hilum: A clue to torsion of a wandering spleen located in a normal left upper quadrant position |
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