Wandering Spleen

Last update 23 Jan 2025

Basic Info

Synonyms

Displaced Spleen, Displaced Spleens, Drifting Spleen

+ [38]

Introduction

A congenital or acquired condition in which the SPLEEN is not in its normal anatomical position but moves about in the ABDOMEN. This is due to laxity or absence of suspensory ligaments which normally provide peritoneal attachments to keep the SPLEEN in a fixed position. Clinical symptoms include ABDOMINAL PAIN, splenic torsion and ISCHEMIA.

Clinical Trials associated with Wandering Spleen

NCT03982056

/ Unknown statusNot Applicable

"Float First": Categorising Factors Effecting Floating in Different Populations During Water Immersion.

The study involves measurements of body composition using a DEXA scanner, lung function, buoyancy and floating technique. An understanding of the effects of physiological and anthropometric measures on an individual's ability to float may lead to the creation of a 'Floatability Score' to aid current public information. With this floatability score a set of actions that people of certain body types should adopt in water will be created, to tailor the current public safety messaging in an attempt to ensure more people are aware of how they can float in water

Start Date01 Jul 2019

Sponsor / Collaborator

University of Portsmouth

100 Clinical Results associated with Wandering Spleen

100 Translational Medicine associated with Wandering Spleen

0 Patents (Medical) associated with Wandering Spleen

286

Literatures (Medical) associated with Wandering Spleen

01 Jan 2025·Journal of Minimal Access Surgery

Totally laparoscopic partial splenectomy and gastropexy for a splenic cyst in a wandering spleen

Article

Author: Kotawala, Hussain ; Merchant, Taher Saifuddin

AbstractWith only seven reported cases until 2019 as noted by Lim et al., cases of a wandering spleen (WS) accompanied by splenic cyst (SC) are exceptionally rare. Furthermore, both entities are notoriously ‘silent’ until they present as an emergency with complications, often warranting total splenectomy. Management of SC in a WS eventually depends on its clinical presentation, disease type and functional reservoir of the spleen. However, it is desirable to operate electively and perform a spleen salvage with splenic reposition surgery. Our case describes the first totally laparoscopic partial splenectomy and intraperitoneal fixation of the spleen by means of gastropexy for a large non-parasitic SC in a WS. Partial splenectomy instead of just a cystectomy tackles the risk of cyst recurrence, and a gastropexy over other splenic repositioning techniques would allow the spleen to remain as an intraperitoneal organ.

01 Jan 2025·International Journal of Surgery Case Reports

Wandering spleen with torsion causing an acute abdomen: A case report

Article

Author: Aregawi, Alazar Berhe ; Geremew, Teketel Tadesse

INTRODUCTION AND IMPORTANCEWandering spleen, also known as ectopic spleen, is an uncommon disorder in which the spleen's anatomical location differs from its fixed position in the abdomen's left upper quadrant. The etiology is either congenital or acquired, possibly leading to torsion and splenic infarction. It affects children and young adults, especially childbearing-age women. Patients affected by this condition may present with nonspecific symptoms requiring a high index of suspicion. Given the nonspecific clinical symptoms and the potential complications associated with wandering spleen, computed tomography scans provide a crucial means for proper diagnosis.CASE PRESENTATIONA 38-year-old female patient presented with worsening abdominal pain of one-week duration. The pain was more localized to the left hemi abdomen but later she claimed that it became diffuse. She had associated vomiting of ingested matter and loss of appetite. She had a similar complaint of abdominal pain for the last year. Up on examination, she looked acutely sick. Abdominal examination showed a flat abdomen moved with respiration; a big intra-abdominal mass was tender; it was freely mobile in all directions; with no sign of fluid collection. A CT scan of the abdomen suggested an ectopic spleen with splenic torsion. Intraoperative findings revealed an infarcted wandering spleen. An emergency splenectomy was performed. The patient was discharged on the third postoperative day and had an uneventful postoperative recovery.CLINICAL DISCUSSIONIf a normal spleen is not identified in the left upper quadrant, a search for ectopic splenic tissue should ensue. If the patient has not had a prior surgical splenectomy, some possible explanations include an ectopic or "wandering" spleen. This case was an infarcted wandering spleen caused by abnormal ligamentous attachments.CONCLUSIONWandering spleen with torsion poses a great diagnostic challenge for acute abdomen due to the rarity of its occurrence and non-specific presentations. A high index of suspicion is the key to early diagnosis and timely intervention is required to improve treatment outcomes.

25 Dec 2024·Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery

[Single center study of short-term and 10-year efficacy of performing the Jinling procedure on 3 310 patients with refractory mixed constipation].

Article

Author: Yao, Y ; Feng, X B ; Jiang, J ; Hang, Z N ; Li, X Y ; Ni, L

Objective: To evaluate the safety, effectiveness, and long-term efficacy of the Jinling procedure for management of refractory mixed constipation. Methods: We prospectively collected clinical data of patients with refractory mixed constipation treated by the Jinling procedure in the Institute of General Surgery of our hospital from January 2007 to August 2023. Perioperative complications, effectiveness within 1 year of surgery (as assessed by the Wexner constipation score, gastrointestinal quality of life index, frequency of spontaneous defecation, rate of satisfactory defecation, body composition, serological indicators, defecography, anorectal manometry) and 10 years after surgery (as assessed by the Wexner constipation score, patient assessment of constipation symptom, SF-36 quality of life score, and questionnaire concerning satisfaction with defecation). Results: The study cohort comprised 3310 patients of mean age 44±15 years, including 653 men and 2657 women. The duration of constipation was 141±114 months. The 1-month, 3-month, 6-month, and 12-month follow-up rates were 98.07% (3246/3310), 95.11% (3148/3310), 93.38% (3091/3310), and 92.81% (3072/3310), respectively. Overall, 1100 patients had undergone surgery at least 10 years previously, 683 of whom completed the questionnaire, making the 10-year follow-up rate 62.09%. The overall incidence of postoperative complications was 21.99% (728/3310), mortality 0.45% (15/3310), and duration of postoperative hospital stay 12.5±5.4 days. Compared with preoperative values, Wexner scores decreased significantly from 1 to 12 months after surgery, whereas the gastrointestinal quality of life index scores had gradually increased by 3 months after surgery; both changes were statistically significant (both P < 0.001). The frequency of spontaneous defecation increased significantly to > five times/day 1 month after surgery, following which it decreased gradually with time, falling to two to five times/day by 6 months after surgery. All nutritional indicators returned to preoperative levels within 1 year except for that of inorganic salt, which did not change significantly. By 6-12 months after surgery, the proportions of rectocele, mucosal prolapse, internal rectal intussusception, visceral ptosis, perineal descent, pelvic floor spasm, and puborectalis syndrome assessed by defecography were all significantly lower than before surgery (all P < 0.05). By 3 months after surgery, the anal resting pressure, anal maximum systolic pressure, and anorectal depression had all returned to preoperative levels. Twelve months after surgery, the rectoanal inhibition reflex was stronger than that before surgery, whereas anal relaxation was less pronounced than that before surgery; these differences are statistically significant (both P < 0.05). The Wexner scores (7±2 vs. 21±6) and patient assessment of constipation symptoms scores (13±5 vs. 39±5) were significantly lower 10 years after the Jinling procedure than they had been before surgery. The eight dimensions of the SF-36 quality of life scores for physical functioning (90±5 vs. 78±8), role limitations in physical functioning (89±12 vs. 50±24), bodily pain (67±18 vs. 33±22), emotional well-being (63±23 vs. 48±30), vitality (71±11 vs. 31±13), mental health (71±10 vs. 30±10), social functioning (69±17 vs. 26±15) and general health (79±9 vs. 35±12) had all improved significantly (all P < 0.001). The total rates of satisfaction with defecation were 95.02% (2919/3072) and 87.56% (598/683) 1 year and 10 years after surgery, respectively. Conclusion: The Jinling procedure is a safe and effective means of treating refractory mixed constipation, achieving improvement in long-term defecation function and gastrointestinal quality of life.

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