A Case of Torsion of Wandering Spleen with Mesenterium Commune

Eriko Katsuta, Toukichi Gen, Masaru Udagawa, Hiroyuki Okamoto, Yuichirou Watanabe and Eiichi Yabata

Department of Surgery, Toride Kyodo General Hospital

We report a case of torsion of a wandering spleen with mesenterium commune. A 47-year-old mentally retarted woman admitted for anorexia, slight fever and nose bleeds was found on palpation to have a lower abdominal mass. Laboratory data showed disseminated intravascular coagulation. Abdominal computed tomography showed a spleen with torsion in the pelvic space and mesenterium commune due to ascending colon absence in the right abdomen. In emergency surgery based on a preoperative diagnosis of disseminated intravascular coagulation due to splenic infarction we found the spleen enlarged with 4 twisted rotations and a splenic pedicle adhering to the pelvic space, and mesenterium commune in which the duodenum, pancreas, ascending colon, descending colon, and rectum were not fixed to the retroperitoneum. Splenectomy was conducted.

Key words
splenic torsion, mesenterium commune, DIC

Reprint requests
Eriko Katsuta Department of Surgery, Toride Kyodo General Hospital
2-1-1 Hongou, Toride, 302-0011 JAPAN

Accepted
October 28, 2008

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