Wandering spleen--the challenge of ultrasound diagnosis: report of 7 cases.
J Clin Ultrasound
; 33(9): 433-8, 2005 Dec.
Article
en En
| MEDLINE
| ID: mdl-16281274
ABSTRACT
PURPOSE:
To summarize our experience with sonographic diagnosis of wandering spleen in children and assess for the typical sonographic findings of wandering spleen, complications, and possible diagnostic pitfalls.METHODS:
We identified all pediatric patients from 1998-2003 with a surgically confirmed diagnosis of wandering spleen. All sonographic examinations were reviewed for splenic position, size, echotexture, and parenchymal blood flow.RESULTS:
Seven children were identified with a mean age of 9.7 years (range 4.2-15.3 years). All presented with abdominal pain. Abdominal sonography, performed in all children demonstrated a low position of the spleen (n = 6), splenomegaly (n = 4), and absence of parenchymal flow in the three patients with splenic torsion and infarction. The diagnosis was made preoperatively via sonography in five children; three required repeated hospital admissions before the correct diagnosis was established. Complications occurred in five patients (gastric obstruction [n = 1], splenic infarction [n = 3], and recurrent pancreatitis [n = 1]).CONCLUSION:
The most specific sonographic finding for wandering spleen is low position of the spleen. However, if the spleen regains its normal or near-normal position, the diagnosis may be missed and the condition may recur, and result in complications.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Dolor Abdominal
/
Ectopía del Bazo
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Límite:
Adolescent
/
Child
/
Child, preschool
/
Humans
/
Male
Idioma:
En
Revista:
J Clin Ultrasound
Año:
2005
Tipo del documento:
Article
País de afiliación:
Israel