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The asynchronous torsion of the main and accessory wandering spleens in an infant
- Authors: Sokolov Y.Y.1,2, Stonogin S.V.2, Dziadchik A.V.2, Korovin S.A.1,2, Korenkova O.V.2
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Affiliations:
- Russian Medical Academy of Continuous Professional Education
- Bashlyaevа Children’s City Clinical Hospital
- Issue: Vol 27, No 6 (2023)
- Pages: 439-445
- Section: CLINICAL OBSERVATIONS
- Submitted: 24.04.2023
- Accepted: 09.10.2023
- Published: 26.12.2023
- URL: https://jps-nmp.ru/jour/article/view/663
- DOI: https://doi.org/10.17816/ps663
- ID: 663
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Abstract
BACKGROUND: To diagnose the torsion of the wandering spleen in infants is a challenging task. Torsion of the wandering spleen in such population is an extremely rare case. Among children under one year of age, the wandering spleen is more common in boys (2.5:1). A total of 26 cases of torsion of an accessory spleen were described in the literature. Asymptomatic course of the disease before the first episode of spleen torsion occurs in 70% cases. No case of asynchronous torsion of the main and accessory wandering spleens are described in the literature.
CLINICAL CASE DESCRIPTION: This article describes a very rare clinical case of asynchronous torsion of the main and accessory wandering spleens in an infant. In the described case, basic clinical manifestations of the spleen torsion in an 8-month-old girl were typical for acute enteric infection. The child had laparoscopic splenectomy.
CONCLUSION: The present article describes challenges associated with the diagnostics of this pathology, important role of spiral computed tomography, efficacy of diagnostic laparoscopy and relaparoscopy as well as the efficacy of laparoscopic spleen resection in case of spleen necrosis in an infant.
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About the authors
Yuri Y. Sokolov
Russian Medical Academy of Continuous Professional Education; Bashlyaevа Children’s City Clinical Hospital
Email: sokolov-surg@yandex.ru
ORCID iD: 0000-0003-3831-768X
SPIN-code: 9674-1049
Россия, Moscow; Moscow
Sergey V. Stonogin
Bashlyaevа Children’s City Clinical Hospital
Author for correspondence.
Email: svas70@mail.ru
ORCID iD: 0000-0003-3531-5849
SPIN-code: 8552-6953
MD, Cand. Sci. (Medicine)
Россия, MoscowAlexander V. Dziadchik
Bashlyaevа Children’s City Clinical Hospital
Email: dzyadchik@mail.ru
ORCID iD: 0000-0002-6751-3068
Россия, Moscow
Sergey A. Korovin
Russian Medical Academy of Continuous Professional Education; Bashlyaevа Children’s City Clinical Hospital
Email: korovinsa@mail.ru
ORCID iD: 0000-0002-8030-9926
Россия, Moscow; Moscow
Olga V. Korenkova
Bashlyaevа Children’s City Clinical Hospital
Email: olgha.korienkova@mail.ru
ORCID iD: 0000-0001-6569-7409
Россия, Moscow
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