Splenic hypoperfusion due to torsion

Case contributed by Dr Mert Bayramoglu

Presentation

Severe left upper and lower quadrant pain for several days. Attended 3 emergency departments with no diagnosis made.

Patient Data

Age: 20 years
Gender: Female

Partial torsion of the spleen causes obstruction of the splenic vein. Hypoperfused spleen, perisplenic minimal fluid, no contrast in splenic vein nearest to the spleen and patent splenic artery is observed on contrast enhanced CT. There is no thrombus in splenic vein.

Case Discussion

The cause of splenic torsion appears to be related to issues with the attaching ligaments such as weakening or malformation. Usually splenic torsion is seen in association with a wandering spleen (splenoptosis), however, in this case the spleen seems is in a normal location.

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Case Information

rID: 42338
Case created: 16th Jan 2016
Last edited: 18th Jan 2017
Inclusion in quiz mode: Included

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