Article Text

Download PDFPDF
CASE REPORT
Splenic torsion: a rare cause of abdominal pain
  1. Michael Mohseni,
  2. Brian T Kruse,
  3. Charley Graham
  1. Emergency Medicine, Mayo Clinic’s Campus in Florida, Jacksonville, Florida, USA
  1. Correspondence to Dr Michael Mohseni, mohseni.michael{at}mayo.edu

Summary

Splenic torsion is an exceedingly rare but clinically important disease process that should be recognised promptly by the treating physician. In this condition, there is twisting of the spleen along its vascular pedicle, subsequently leading to abdominal pain in the setting of organ ischaemia. Vascular thrombosis and splenic infarction may ensue. Torsion has been described in cases of a known wandering spleen. Abnormal development of the splenic suspensory ligaments may predispose a patient to a wandering spleen. Treatment of splenic torsion is typically surgical, with goals of preservation of the spleen if possible.

We present a case of a young woman who presented with left-sided chest and abdominal pain and was found to have splenic torsion with complete splenic infarction. Surgical intervention was required, and splenectomy was performed. In this case presentation, we outline the multidisciplinary approach needed to care for the patient with this rare condition.

  • gastrointestinal surgery
  • emergency medicine
  • gastroenterology
View Full Text

Statistics from Altmetric.com

Footnotes

  • Contributors BTK collected information about the case presentation. CG collected information on background of this diagnosis. MM helped with manuscript writing and submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.