TITLE:
Acute Volvulus of a Wandering Spleen on Pregnancy: A Case Report
AUTHORS:
Traoré Mamadou, Kouakou Kouamé Bernadin, Anzoua Kouakou Ibrahim, Menin Messou Benié Michelle, Djahan Lydie Estelle, Leh Bi Kalou Ismaêl, N’Dri Ahou Bernadette, Ekra Amos Serges, Kouakou Blaise Amos, Zouan Freddy Junior, Lebeau Roger, Diané Bamourou
KEYWORDS:
Wandering Spleen, Volvulus, Pregnancy, Splenectomy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.4,
April
4,
2018
ABSTRACT: 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. Pedicle twisting is its most common complication.
It is an anatomo-clinical entity most often described in children, but rare in
adults. It is a serious condition, especially when it occurs on a pregnancy
putting at stake maternal and fetal prognosis. Authors report a case of acute
volvulus of wandering spleen in a 26-year-old patient admitted for abdominal
pain on an active pregnancy of 15 weeks of amenorrhea. Abdominal ultrasound scan helped to set the diagnosis. At laparotomy, the enlarged
spleen was in an ectopic position, in the iliac fossa with a pedicle abnormally
twisted in several spiral turns. Splenectomy was performed. The post-operative
period was simple and the pregnancy progressed well to term.