Database : MEDLINE
Search on : Wandering and Spleen [Words]
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[PMID]: 29521675
[Au] Autor:Freund MR; Reissman P; Zimran A; Alberton J
[Ad] Address:Department of General Surgery.
[Ti] Title:Splenectomy in Gaucher Disease: A Call for Minimally Invasive Surgery.
[So] Source:Surg Laparosc Endosc Percutan Tech;, 2018 Mar 07.
[Is] ISSN:1534-4908
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE: The objective of this article was to demonstrate that Gaucher disease (GD) patients with refractory hypersplenism and massive splenomegaly may successfully undergo hand-assisted laparoscopic splenectomy (HALS). METHODS: This was a retrospective audit conducted at the Gaucher clinic at a national referral center over a 10-year period. PATIENT POPULATION: This study included 8 GD patients who underwent hand-assisted or conventional laparoscopic splenectomy for massive or complicated splenomegaly between the years 2007 and 2017. RESULTS: Seven patients underwent an elective HALS procedure because of refractory hypersplenism, whereas 1 patient underwent an urgent conventional laparoscopic splenectomy because of torsion of a wandering spleen. Only 1 patient required conversion to open surgery because of multiple adhesions from a previous partial splenectomy. The mean weight of the removed spleens was 2373 g (range, 480 to 4900 g), mean craniocaudal length of the removed spleens was 25 cm (range, 20 to 33.5 cm), and mean operating time was 150 minutes (range, 96 to 280 min). Postoperative complications were limited to 2 patients and included thrombosis of the splenic vein stump in 1 patient, and propagation of a preoperative splenic vein thrombus to the portal system, as well as an accumulation of an intra-abdominal hematoma in another patient. There was no mortality. Mean length of hospital stay was 5 days (range, 2 to 11 d). CONCLUSION: HALS for GD patients with refractory hypersplenism and massive splenomegaly is safe and feasible in experienced hands.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[St] Status:Publisher
[do] DOI:10.1097/SLE.0000000000000518

  2 / 476 MEDLINE  
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[PMID]: 29482086
[Au] Autor:Rizzuto A; Di Saverio S
[Ad] Address:Department of Medical and Surgical Sciences, University Magna Græcia of Catanzaro, Italy. Electronic address: arizzuto@unicz.it.
[Ti] Title:Laparoscopic splenectomy for a simultaneous wandering spleen along with an ectopic accessory spleen. Case report and review of the literature.
[So] Source:Int J Surg Case Rep;43:36-40, 2018 Feb 09.
[Is] ISSN:2210-2612
[Cp] Country of publication:Netherlands
[La] Language:eng
[Ab] Abstract:BACKGROUND: Wandering spleen and accessory spleen are uncommon entity occurring during embryonic development. Wandering spleen results in an excessive mobility and migration of the spleen from its normal position in the left hypochondrium while accessory spleen is characterized by ectopic splenic masses or tissue disjointed from the main body of spleen. Due to the nonspecific and multiple symptoms the clinical diagnosis of both conditions is uncertain even with imaging techniques, such as CT and MRI. The coexistence of both diseases (wandering spleen ad accessory spleen) is uncommon. CASE REPORT: A 17-year old European female with a history of minor beta thalassemia and recurrent attacks of abdominal pain. Pre- operative management consisted of routine laboratory tests, ultrasound, CT scan. An ectopic spleen along with an accessory spleen were diagnosed. After a multidisciplinary board a laparoscopic splenectomy was performed. Post-operative recovery was uneventful, and the patient was discharged on the 6th post-operative day with the indication to continue the therapy with low molecular weight heparin (LMWH) for 30 days CONCLUSIONS: This case represents a simultaneous condition of wandering splenomegaly along with an ectopic wandering spleen. The coexistence of these two rare conditions is peculiar such as the age of the patient, as literature reports such diseases to affect children or more commonly people in the range of 20-40 years of age. Laparoscopic treatment for this particular condition is also unusual.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180226
[Lr] Last revision date:180226
[St] Status:Publisher

  3 / 476 MEDLINE  
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[PMID]: 29450603
[Au] Autor:Zhang P; Dyer RB; Holbert BL
[Ad] Address:Department of Radiology, Wake Forest Baptist Medical Center, Wake Forest University School of Medicine, 1 Medical Center Blvd, Winston-Salem, 27157, NC, USA. pzhang@wakehealth.edu.
[Ti] Title:A "wandering spleen".
[So] Source:Abdom Radiol (NY);, 2018 Feb 15.
[Is] ISSN:2366-0058
[Cp] Country of publication:United States
[La] Language:eng
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1802
[Cu] Class update date: 180216
[Lr] Last revision date:180216
[St] Status:Publisher
[do] DOI:10.1007/s00261-018-1488-1

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[PMID]: 29409991
[Au] Autor:Taydas O; Ogul H; Bayraktutan U; Kantarci M
[Ad] Address:Department of Radiology, Erzincan University Mengücek Gazi Training and Research Hospital, Erzincan, Turkey.
[Ti] Title:A Multicystic, Malrotated Pancreas in a Patient with Wandering Spleen.
[So] Source:Gastroenterology;, 2018 Jan 31.
[Is] ISSN:1528-0012
[Cp] Country of publication:United States
[La] Language:eng
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180207
[Lr] Last revision date:180207
[St] Status:Publisher

  5 / 476 MEDLINE  
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[PMID]: 29197844
[Au] Autor:Danse E; Khoury R
[Ad] Address:Imaging Department, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, 10 Av Hippocrate , Brussels, Belgium.
[Ti] Title:Volvulus of a wandering pelvic spleen: CT diagnosis with 3D reformatted illustration.
[So] Source:BMJ Case Rep;2017, 2017 Dec 02.
[Is] ISSN:1757-790X
[Cp] Country of publication:England
[La] Language:eng
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 171203
[Lr] Last revision date:171203
[St] Status:In-Data-Review

  6 / 476 MEDLINE  
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[PMID]: 29064546
[Au] Autor:Hui Lian H; Hayati F; Ali AA; Azizan N; Che Ani MF; Suhaili MA; Zakaria AD
[Ti] Title:Wandering spleen: a unique cause of acute abdomen.
[So] Source:Folia Morphol (Warsz);, 2017 Oct 24.
[Is] ISSN:0015-5659
[Cp] Country of publication:Poland
[La] Language:eng
[Ab] Abstract:We present the case of a 16-year-old boy presented with two weeks episode of worsening lower abdominal pain. Clinically, there was a tender palpable mass on the suprapubic region. Ultrasonography showed an absent spleen at its usual area, instead might represent the suprapubic mass. An emergency laparotomy revealed a congested spleen in the pelvic cavity. Splenectomy was undertaken as it was non-viable. The patient was discharged uneventfully with triple vaccinations. We describe this unique entity with its literature review.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 171024
[Lr] Last revision date:171024
[St] Status:Publisher
[do] DOI:10.5603/FM.a2017.0097

  7 / 476 MEDLINE  
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[PMID]: 28875287
[Au] Autor:Tagliabue F; Chiarelli M; Confalonieri G; Pesenti G; Beretta S; Cappello A; Fumagalli LAM; Costa M
[Ad] Address:Department of Surgery, "A. Manzoni" Hospital Lecco, Via dell'Eremo 9/11, 23900, Lecco, Italy. f.tagliabue@asst-lecco.it.
[Ti] Title:The Wandering Spleen.
[So] Source:J Gastrointest Surg;, 2017 Sep 05.
[Is] ISSN:1873-4626
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:á…Ÿ.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1709
[Cu] Class update date: 170906
[Lr] Last revision date:170906
[St] Status:Publisher
[do] DOI:10.1007/s11605-017-3560-5

  8 / 476 MEDLINE  
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[PMID]: 28774572
[Au] Autor:Ayyildiz V; Guvendi B; Ogul H; Kantarci M
[Ad] Address:Department of Radiology, School of Medicine, Siirt State Hospital, Siirt, Turkey.
[Ti] Title:Bazo errante. Wandering spleen.
[So] Source:Cir Esp;, 2017 Jul 31.
[Is] ISSN:1578-147X
[Cp] Country of publication:Spain
[La] Language:eng; spa
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1708
[Cu] Class update date: 170804
[Lr] Last revision date:170804
[St] Status:Publisher

  9 / 476 MEDLINE  
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[PMID]: 28756363
[Au] Autor:Termos S; Redha A; Zbibo R; Alduwaisan A; AlKabbani M; Elyousif N; Alali M
[Ad] Address:Hepatobiliary and Transplant unit, Department of Surgery, Amiri Hospital, Kuwait. Electronic address: dr.termos@hotmail.com.
[Ti] Title:Torsion of huge wandering accessory spleen. Case report and review of literature.
[So] Source:Int J Surg Case Rep;38:131-135, 2017.
[Is] ISSN:2210-2612
[Cp] Country of publication:Netherlands
[La] Language:eng
[Ab] Abstract:INTRODUCTION: Accessory spleens are found in 10-15% of the population, and are even more prevalent in patients with hematological disorders (Rudowski, 1985). It infrequently may become symptomatic due to torsion, spontaneous rupture or hemorrhage which may lead to death. Torsion of an accessory spleen is extremely rare, and requires prompt medical attention [2] (Coote et al., 1999). PRESENTATION OF CASE: We report the case of a 27-year-old Mediterranean lady with thalassemia trait, who presented to the emergency department with an acute surgical abdomen due to torsion of a giant accessory spleen, measuring 13cm. She was diagnosed with the aid of ultrasound and computed tomography (CT) scan and was treated surgically through resection of the spleen. DISCUSSION AND CONCLUSION: Torsion of an accessory spleen is not common, and is the surgical indication in about 0.2-0.3% of splenectomies (Mortele et al., 2004). It has variable clinical presentations, and is a difficult preoperative diagnosis due to lack of specificity of symptoms. Accessory spleens are usually smaller than 3cm, with few cases being reported as larger than 10cm larger accessory spleens have a higher rate of torsion. Knowledge of this pathology, and familiarity with its radiological findings are fundamental to accurately diagnosing and manageming this challenging condition.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1707
[Cu] Class update date: 170818
[Lr] Last revision date:170818
[St] Status:PubMed-not-MEDLINE

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[PMID]: 28733740
[Au] Autor:Morgan S; Glenn I; Soldes O
[Ad] Address:Department of Surgery, Summa Health System, Akron, OH, USA.
[Ti] Title:Laparoscopic splenopexy for wandering spleen, a video demonstration of technique by encircling the spleen with polyglactin 910 woven mesh.
[So] Source:Surg Endosc;, 2017 Jul 21.
[Is] ISSN:1432-2218
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:BACKGROUND: Wandering spleen is a rare clinical entity caused by absence of the spleen's peritoneal attachments, allowing the spleen to move freely within the peritoneal cavity [1]. This disease is most commonly seen in children and young women [1, 2]. Affected individuals are predisposed to complications including splenic torsion, splenic infarction, and pancreatic necrosis [3, 4]. Patients may present with constipation, an abdominal mass, swelling, or acute abdominal pain if splenic torsion has occurred [4]. Wandering spleen is difficult to diagnose without imaging, as symptoms are non-specific or may be absent. Imaging studies to confirm the diagnosis may include computed tomography (CT) scan or duplex ultrasonography [5]. Definitive management of a wandering spleen is primarily surgical [2]. Splenectomy is the preferred treatment in patients who present with an acute splenic infarction [2, 6]. Splenopexy, however, is first line treatment for patients with a non-infarcted wandering spleen [2, 7, 8]. CASE PRESENTATION: In this video, we present a case of an 11 year old male with a symptomatic wandering spleen who was treated at our institution with laparoscopic splenopexy. The patient had a history of arthrogryposis multiplex congenita and presented with recurrent, episodic abdominal pain, nausea, and vomiting. The diagnosis was confirmed by CT scan which demonstrated the spleen in the right lower quadrant. We performed laparoscopic splenopexy by encircling the spleen with polyglactin 910 woven mesh and attaching the mesh to the left lateral abdominal wall with absorbable tacks. DISCUSSION: Our surgical technique for splenopexy was successful and the patient returned home on postoperative day four. No significant complications occurred. This video demonstrates this technique and highlights the key steps. Splenopexy by encircling the spleen with polyglactin 910 mesh is feasible, preserves splenic function, and can be performed with standard laparoscopic equipment. Tacks or transfascial sutures are a potential option for securing mesh.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1707
[Cu] Class update date: 170722
[Lr] Last revision date:170722
[St] Status:Publisher
[do] DOI:10.1007/s00464-017-5630-x


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