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Wandering spleen as a cause of acute abdomen: a surgical conundrum from acute appendicitis to splenic torsion and ischemic small bowel volvulus
Fatimah Najid1, Sanjeev Sandrasecra2, Mohd Zuki Asyraf3, Chang Haur Lee4, Firdaus Hayati5, Nornazirah Azizan6, Andee Dzulkarnaen Zakaria7.
Wandering spleen is renowned as a surgical enigma due to its diverse presentations. Due to lack of its attaching ligaments which would usually place it at the left hypochondrium region, the spleen ‘wanders’ and may be located anywhere within the abdominal cavity. This condition has been associated with many complications such as splenic torsion, pancreatitis and portal hypertension. We report a case of a wandering spleen presenting as acute appen- dicitis in an 18-year-old young active sportsman. The patient developed post-operative ileus and later intestinal obstruction which necessitated exploratory laparatomy onto which the final diagnosis of splenic and small bowel infarct due to splenic torsion with small bowel volvulus was made. Splenectomy, small bowel resection and primary anastomosis were performed and the patient made a full recovery.
Affiliation:
- Queen Elizabeth Hospital (Malaysia), Malaysia
- Queen Elizabeth Hospital (Malaysia), Malaysia
- Queen Elizabeth Hospital (Malaysia), Malaysia
- Queen Elizabeth Hospital (Malaysia), Malaysia
- Universiti Malaysia Sabah, Malaysia
- Universiti Sains Malaysia (USM), Kubang Kerian, Kelantan, Malaysia
- Universiti Sains Malaysia (USM), Malaysia
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Indexation |
Indexed by |
MyJurnal (2021) |
H-Index
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3 |
Immediacy Index
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0.000 |
Rank |
0 |
Indexed by |
Scopus 2020 |
Impact Factor
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CiteScore (0.2) |
Rank |
Q4 (Medicine (all)) |
Additional Information |
SJR (0.144) |
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