Removal of the spleen does not cure the disease although it slows the progress. The incidence is spleen is the major complication of an abnormally mobile spleen, the wandering spleen. Torsion of wandering spleen with infarction cureus. The spleen sits behind and is protected by your ribs.
In one, the onset was sudden and, on physical examination, a mass was felt in the left hypochondrium. Wandering spleen article about wandering spleen by the free. It serves as a graveyard for old or flawed red blood cells oxygencarrying cells and as a storage site for blood and platelets essential for clotting. Mar 31, 2020 the spleen is a secondary lymphoid organ. Inside, the mass of splenic tissue is of two types, the red pulp and the white pulp, which do not separate into regions but intermingle and are distributed throughout the spleen. The surgeon and the spleen itp low platelet, normal bone marrow, abscess of other causes increased platelet destruction mediated by autoantibodies to platelet membrane antigens that results in platelet phagocytosis by the spleen 72% pts 10yrs are female, 70% of affected females less than 40yrs. Acquired wandering spleen may occur during adulthood due to injuries or other underlying conditions. Spleen introduction information on the following lesions is available in this section. Wandering spleen is also called displaced spleen, drifting spleen, splenoptosis, floating spleen, or splenic ptosis. Wandering spleen and splenic torsion associated with upper. Apr 25, 2012 wandering spleen is a rare condition that occurs when the spleen lacks one or more of the ligments that hold the spleen in its normal position in the upper left abdomen.
In the other, it was the second episode and a firm midabdominal mass was found. Acute abdomen due to torsion of the wandering spleen in a. The anatomy and embryology of the spleen are well described in standard texts on those subjects 1. The first description of this entity is attributed to van horne, a dutch physician in 1667 with confirmation by autopsy. The red pulp is a network of splenic cords cords of billroth and sinusoids. If you do not see its contents the file may be temporarily unavailable at the journal website or you do not have a pdf plugin installed and enabled in your browser. The spleen is removed while you are under general anesthesia. Wandering spleen is a rare condition in which the spleen migrates from its usual anatomical position, commonly to the lower abdomen or pelvis.
There are 3 different surgical procedures to remove the spleen. With the spleen retracted medially, the phrenicocolic ligament is incised. The spleen is encased in a thick connectivetissue capsule. Case report torsion of wandering spleen involving the pancreatic tail. Wandering spleen with partial torsion radiology case. The article presents two cases of wandering spleen in the pediatric age group. We present a case of wandering spleen in a young nulliparous female with an. By filtering blood, the spleen also recycles senescent and damaged erythrocytes.
Flows for life handson health aims to introduce the awareness of a dynamic method of self help based on a universal art called jin shin jyutsu. The spleen has a fundamental role in chinese medicine. Torsion of a wandering spleen presenting as acute abdomen narvir singh chauhan1abcdef, satish kumar2abdef 1 department of radiodiagnosis, dr. Wandering spleen is a rare condition characterized by splenic hypermobility due to laxity or absence of its suspensory ligaments. The spleen varies in shape from flat and ribbonlike, for example, in rodents and carnivores, to round, for example, in salientians, testudinates, and cetaceans. During a liver and spleen scan, a radioactive tracer substance is put into a vein iv in the arm. It moves through the blood to the liver and spleen. Wandering spleen definition of wandering spleen by. In this way, the spleen stimulates the maturation and activation of lymphocytes. It is structurally complex and has a number of different functions such as immunological monitoring of bloodborne antigens, storage of blood and destruction of aged or abnormal blood cells. Filters abnormal red cells splenunculi accessory spleen. This simple, effective art is available to each one of us to use. Splenectomy was previously advocated as the treatment of choice, though recent reports suggest that the organ may be distorted, and splenopexy performed.
Torsion of a wandering spleen with whorled appearance of. Jan 15, 2014 wandering spleen or hypermobile spleen results from the elongation or maldevelopment of the spleens suspensory ligaments. In man the spleen starts forming at the end of the first month of fetal life in the mesenchyma, under the dorsal mesentery. A rare diagnosis with variable presentation wandering spleen is a rare clinical condition found in less that 0. Ooka m, kohda e, iizuka y, nagamoto m, ishii t, saida y, et al. It, paired with the stomach, are the main organs of digestion and are responsible for digestion and distribution of food and nutrients throughout the body. Aug 05, 20 wandering spleen is a very rare defect characterized by the absence or weakness of one or more of the ligaments that hold the spleen in its normal position in the upper left abdomen.
Little has been published on the subject in the current literature. The spleen is delivered to the midline by means of blunt and sharp dissection of the areolar plane between the kidney and the pancreas. Wandering or ectopic spleen is a rare congenital or acquired abnormality due to a defect in the anatomical fixity of the spleen with the surrounding organs. Feb 27, 2019 please use one of the following formats to cite this article in your essay, paper or report. A splenectomy is performed for the diagnosis andor treatment of different disease or to control symptoms associated with certain conditions, such as pain or bleeding. Wandering spleen nord national organization for rare. Sep 10, 2008 a wandering spleen is a rare but wellknown entity.
Available in any file format including fbx, obj, max, 3ds, c4d. A 15 years old patient was taken to the operative room for an explorative laparotomy due to abdominal pain and a pelvic spleen at preoperative computed tomography. Laparoscopic splenectomy is the typical method used for spleen removal. The splenic artery brings blood to the spleen from the heart.
A healthy rat spleen will be crushed with cell strainers to create a homogenous, single cell suspension. Diagnosis is most commonly made between ages 20 and 40 years and is more common in. Spleen can have a wide range of anomalies including its shape, location, number, and size. Wandering spleen is a rare condition with an estimated 0. The first description of this entity is attributed to van horne, a dutch physician in 1667 with.
The imaging presentations of a wandering spleen include absence of the spleen in the left. Spleen birte steiniger, university of marburg, marburg, germany the spleen is a secondary lymphoid organ present in all vertebrates. It is a rare clinical entity that mainly affects children. Due to the position of the spleen and long pedicle it is more liable for trauma and torsion. Wandering spleen is a rare condition that commonly presents with splenic infarction secondary to torsion. Wandering spleen is a very rare defect characterized by the absence or weakness of one or more of the ligaments that hold the spleen in its normal position in the upper left abdomen. A liver and spleen scan is a nuclear scan that is done to look at these organs for disease. Areas of the liver and spleen where the tracer collects in large amounts show up as bright spots in the pictures. It is structurally complex and has a number of different functions such as immunological monitoring of bloodborne antigens, storage of. Ive been writing poems pretty much since i could write. The surgeon and the spleen itp low platelet, normal bone marrow, abscess of other causes increased platelet destruction mediated by autoantibodies to platelet membrane antigens that results in platelet phagocytosis by the spleen 72% pts 10yrs are.
This patient was later found to have a lymphoproliferative disorder with hypersplenism, which caused her massively enlarged spleen to rotate on its vascular pedicle and wander in her abdomen, causing the abdominal mass. Although most of these anomalies are congenital, there are also acquired types. The spleen is the largest organ of your lymphatic system, a subdivision of the immune system. Wandering spleen, whether it is a condition with which a baby is born congenital form or is the result of multiple births in women or some sort of accident that may affect men and women acquired form, is an extremely rare disorder.
Although it may seem dispensable as it is possible to live without it, the spleen is constantly. Wandering spleen or pelvic spleen is a rare medical disease caused by the loss or weakening of the ligaments that help to hold the spleen stationary. Bridget wilkins is a clinical senior lecturer in pathology at southampton university and an honorary consultant histopathologist for the southampton university hospitals nhs trust. In humans it is about the size of a fist and is well supplied with blood. Detailed anatomical and embryological descriptions have been purposely omitted from this chapter, which concentrates on the surgical relevance of spleen related structures and their development. In som e countries, chemotherapy is used to induce remission and prolong life in lymphoid, blood and mast cell cancers. Spleen definition is a highly vascular ductless organ that is located in the left abdominal region near the stomach or intestine of most vertebrates and is concerned with final destruction of red blood cells, filtration and storage of blood, and production of lymphocytes. The spleen, a spongy, soft organ about as big as a persons fist, is located in the upper left part of the abdomen, just under the rib cage. The spleen also clears bacteria and is important for proper immune function, especially in fighting bacteria.
Wandering spleen ws is a rare condition where the spleen, free from its ligaments, is allowed to move inside the abdomen predisposing the patient to lifethreatening complications due to torsion. Wandering spleen, which is defined as a spleen without peritoneal attachments, is a rare disease and a delay in the clinical andor radiological diagnosis may lead to splenic torsion, infarction. Open splenectomy your surgeon makes an incision vertically along your abdomen, then locates the spleen separates it from its attachments and blood supply and removes it. How the spleen keeps blood healthy national institutes. In man the spleen starts forming at the end of the first month of fetal life in. Wandering spleen is rare, with a reported incidence of wandering spleen can be an elusive diagnosis as its presentation is greatly variable and intermittent torsion can cause nonspecific signs and symptoms. Please use one of the following formats to cite this article in your essay, paper or report.
Wandering spleen is a rare clinical entity in itself, with only 2 cases reported thus far when correlated with congenital underdevelopment of the kidney, it usually happens due to. A spleen is removed in a surgical procedure called a splenectomy. The story of the spleen thank you for reading the bloodhungry spleen. The spleen extracts qi from the food we eat that is used by the body to build immunity wei qi, keep things moving freely stagnation. If a person is born with this condition it is referred to as congenital wandering spleen. The suspension of splenocytes will then be introduced to a decellularized spleen, via injection into the splenic artery. Patapis 3rd department of surgery, national and kapodistrian university of athens, medical school, attikon university hospital of athens, greece abstract tumors of the spleen are rare compared to the incidence of such tumors in other parenchymatous organs. In 1992, the youngest case of the literature of torsion of wandering spleen at two days of birth was. Get a printable copy pdf file of the complete article 1.
Rajendra prasad government medical college tanda campus, kangra. Patients may have subacute to chronic abdominal or gastrointestinal complaints. Rajendra prasad government medical college, kangra, india 2 department of surgery, dr. Among adults, it is most commonly found in females of active reproductive age. Because wandering spleen can cause lifethreatening complications such as splenic infarction, portal hypertension, and hemorrhage, surgery to remove the spleen is the preferred treatment method for patients. The spleen helps keep harmful microorganisms out of the bloodstream. Congenital anomalies affecting the shape of spleen are lobulations, notches, and clefts. Wandering spleen definition of wandering spleen by medical.
Fewer than 500 cases of wandering spleen have been reported in the medical literature. Patient symptomatology is variable and ranges from mere feeling of an abdominal lump to sudden abdominal pain due to infarction. This means that the spleen filters blood and presents foreign particles antigens to the lymphocytes it houses. As implied by the term wandering, the spleen may be found in unusual locations commonly the lower abdomen or pelvis due to gravity, and present as a lower. The spleen is an organ that lies behind the stomach on the left side of the abdomen. Splenopexy surgically fixing the floating spleen is associated. Abnormal mobility of the spleen is secondary to either 4 hyperlaxity or congenital or acquired agenesis of the spleen suspense ligaments 28.
Overview of the spleen blood disorders merck manuals. Use filters to find rigged, animated, lowpoly or free 3d models. The white pulp is lymphoid tissue that usually surrounds splenic blood vessels. Spleen, organ of the lymphatic system located in the left side of the abdominal cavity under the diaphragm, the muscular partition between the abdomen and the chest. The spleen university of tennessee college of medicine. The spleen also removes unhealthy, old, and misshapen red blood cells from circulation.
Wandering spleen article about wandering spleen by the. Wandering spleen or hypermobile spleen results from the elongation or maldevelopment of the spleens suspensory ligaments. Its network of trabeculae, blood vessels and lymphoid tissue provides an environment in which white blood cells lymphocytes proliferate while old damaged red blood cells erythrocytes are recycled. Areas of the liver and spleen where the tracer collects in large amounts show up as bright spots in the. Rajendra prasad government medical college, kangra, india authors address. It is an anatomoclinical entity most often described in children, but rare in adults. The spleen has a special place in my heart lubdubb because it was my first book published at a major house, candlewick press. The wandering spleen is a condition in which the spleen is not found in its usual location or orientation in the left upper quadrant.
Multidetector row ct appearance ofacute torsion ofwandering spleen in a child. Wandering spleen was first described in children by jozef dietl in 1854. The wandering spleen is a specific clinical syndrome which should be. It holds key components of the bodys immune system. Wandering spleen is an extremely rare birth defect in which there is complete absence or weakness of the ligaments which holds the spleen together in its normal anatomical position in the upper left abdomen. This abdominal mass could easily have been mistaken on the pet image for a malignant process instead of a. Applied anatomy 150 gms 9 th, 10 th,11 th rib tail of pancreas, stomach, colon, lt.
Wandering spleen is a rare clinical condition found in less that 0. Sonographic diagnosis of a subclinical wandering spleen. Full text is available as a scanned copy of the original print version. He has maintained an interest in splenic pathology, particularly lymphomas involving the spleen, for many years. So now we can all wonder about the spleen together. The spleen is a fistsized organ in the upper left side of your abdomen, next to your stomach and behind your left ribs. The spleen is an internal body organ located in the upper left part of your abdomen belly. Bloodhungry spleen curriculum guide 4406 page 2 of 7 introduction. Wandering spleen is a rare entity that results from the absence or maldevelopment of the ligaments that support the spleen in its normal. Wandering spleen is a rare condition that occurs when the spleen lacks one or more of the ligments that hold the spleen in its normal position in the upper left abdomen. Easwaramoorthy ms frcsglas frcs edin frcseng applied anatomy. Epidemiology wandering spleen is rare, with a reported incidence of sep 14, 2017 wandering spleen is an extremely rare birth defect in which there is complete absence or weakness of the ligaments which holds the spleen together in its normal anatomical position in the upper left abdomen.
Wandering spleen with gastric volvulus and intestinal nonrotation in an adult male patient. Epidemiology wandering spleen is rare, with a reported incidence of wandering spleen. A torted wandering spleen is a rare clinical occurrence with fewer than 500 cases reported and an incidence of less than 0. Wandering spleen occurs due to defect in the formation of the lienorenal ligament, the most stabilizer of splenic position which allows for abnormal mobility of the spleen with long splenic vascular pedicle. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. As the lymph nodes are filters for the lymphatic circulation, the spleen is the primary filtering element.
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