Case Report


Colonic obstruction caused by wandering spleen: Case report and literature review

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1 Department of General Surgery, S.C. General and Emergency Surgery, Azienda Unità Sanitaria Locale – “V. Fazzi” Hospital, Lecce, Italy

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William Sergi

Department of General Surgery, S.C. General and Emergency Surgery, Azienda Unità Sanitaria Locale – “V. Fazzi” Hospital, Lecce,

Italy

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Article ID: 101203Z01WS2021

doi: 10.5348/101203Z01WS2021CR

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How to cite this article

Sergi W, D’Ugo S, Marchese TRL, Garritano S, Perrone F, Manoochehri F, Spampinato M. Colonic obstruction caused by wandering spleen: Case report and literature review. Int J Case Rep Images 2021;12:101203Z01WS2021.

ABSTRACT


Introduction: The wandering spleen (WS) is a very rare defect characterized by the absence or weakness of one or more of the ligaments fixing the organ in its anatomical position in the upper left abdomen.

Case Report: A 56-year-old man with strong family history of bowel cancer and long history of gastrointestinal atony presented acute abdominal pain, due to colonic obstruction caused by the torsion of an unknown WS. Total splenectomy was successfully performed and the patient recovered well.

Conclusion: Our report illustrates a rare clinical feature that can represent a diagnostic challenge and a surgical emergency.

Keywords: Colonic obstruction, Splenectomy, Wandering spleen, Whirl sign

SUPPORTING INFORMATION


Author Contributions

William Sergi - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published

Stefano D’Ugo - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Tiziana Rita Lucia Marchese - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Stefano Garritano - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Federico Perrone - Drafting the article, Final approval of the version to be published

Farshad Manoochehri - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Marcello Spampinato - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The guarantor for this case report is Marcello Spampinato.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2021 William Sergi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.