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Pediatr Med Chir. 2012 May-Jun;34(3):146-7.

Acute splenic torsion in children: which is the best treatment? A case report.

Author information

1
Pediatric Surgery Unit, Department of Pediatrics, University Hospital of Padua, Italy. giovanni.cecchetto@unipd.it

Abstract

Wandering spleen is a clinical entity which rarely affects children and adolescents. This condition can be asymptomatic or responsible of chronic pain, but it appears as a surgical emergency when an acute twisting occurs. The risk of post-splenectomy sepsis in the pediatric population suggests a conservative approach whenever possible, and also in case of acute torsion, most authors prefer to preserve the spleen and perform a splenopexy. The Authors describe a case of a child with acute splenic torsion, in whom a conservative surgical approach was initially adopted. The conservative option has to be balanced with the risk of prolonged thrombocytopenia, multiple transfusions and a possible second procedure to remove the spleen.

PMID:
22966728
DOI:
10.4081/pmc.2012.81
[Indexed for MEDLINE]
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