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Wandering spleen

MedGen UID:
75782
•Concept ID:
C0272414
•
Disease or Syndrome
Synonyms: Displaced spleen; Drifting spleen; Floating spleen; Splenic ptosis; Splenoptosis
SNOMED CT: Lien migrans (191384005); Lien mobilis (191384005); Wandering spleen (191384005)
 
Monarch Initiative: MONDO:0042963

Definition

A condition characterized by an abnormal spleen position due to loss, weakness, or malformation of one or more of the ligaments that hold the spleen in its normal position in the left upper abdomen. It may present as a birth defect or follow injuries or pregnancy. Signs and symptoms include abdominal discomfort and splenomegaly. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVWandering spleen

Professional guidelines

PubMed

Diagnosis and treatment of splenic torsion in children: preoperative thrombocytosis predicts splenic infarction.
Wang Z, Peng C, Wu D, Wang K, Chen Y
BMC Pediatr 2022 Jul 22;22(1):440. doi: 10.1186/s12887-022-03484-y. PMID: 35864485Free PMC Article
Diagnosis, management and outcome of splenic torsion; a systematic review of published studies.
Bough GM, Gargan KE, Cleeve SJ, Farrell S
Surgeon 2022 Oct;20(5):e296-e305. Epub 2021 Oct 16 doi: 10.1016/j.surge.2021.08.006. PMID: 34666939

Recent clinical studies

Etiology

Patients with gastric volvulus recurrence have high incidence of wandering spleen requiring laparoscopic gastropexy and splenopexy.
Nakagawa Y, Uchida H, Amano H, Hinoki A, Tainaka T, Shirota C, Sumida W, Yokota K, Makita S, Okamoto M, Takimoto A, Yasui A, Takada S, Kato D
Pediatr Surg Int 2022 Jun;38(6):875-881. Epub 2022 Apr 7 doi: 10.1007/s00383-022-05125-y. PMID: 35391540
Emergencies in the Treatment of Wandering Spleen.
Cohen O, Baazov A, Samuk I, Schwarz M, Kravarusic D, Freud E
Isr Med Assoc J 2018 Jun;20(6):354-357. PMID: 29911755
Laparoscopic transperitoneal left adrenalectomy and wandering spleen risk.
Piccoli M, De Luca GM, Pasculli A, Angelini M, Guicciardi L, Mullineris B, Marchi D, Melotti G
JSLS 2014 Jul-Sep;18(3) doi: 10.4293/JSLS.2014.00278. PMID: 25392630Free PMC Article
Wandering spleen.
Abba AA, Al-Harthy MS
Saudi Med J 2003 Dec;24(12):1404-5. PMID: 14710296
The wandering spleen.
Buehner M, Baker MS
Surg Gynecol Obstet 1992 Oct;175(4):373-87. PMID: 1411897

Diagnosis

Wandering liver, spleen, and kidney: what the radiologist needs to know.
Caruso MJ, Bidani K, Singh AK
Abdom Radiol (NY) 2023 May;48(5):1854-1861. Epub 2023 Feb 8 doi: 10.1007/s00261-022-03789-7. PMID: 36752858
A wandering SPLEEN.
Lebeul JA, Ollende C, Valbousquet L, Prieux-Klotz C
Dig Liver Dis 2021 Apr;53(4):500-501. Epub 2020 Jul 6 doi: 10.1016/j.dld.2020.06.025. PMID: 32646735
A "wandering spleen".
Zhang P, Dyer RB, Holbert BL
Abdom Radiol (NY) 2018 Sep;43(9):2525-2526. doi: 10.1007/s00261-018-1488-1. PMID: 29450603
Wandering Spleen: An Overview.
Reisner DC, Burgan CM
Curr Probl Diagn Radiol 2018 Jan-Feb;47(1):68-70. Epub 2017 Feb 16 doi: 10.1067/j.cpradiol.2017.02.007. PMID: 28385371
Wandering spleen.
Richman M, Hiyama DT, Wasson E
Surgery 2014 Apr;155(4):728. Epub 2012 Dec 20 doi: 10.1016/j.surg.2012.11.015. PMID: 24656146

Therapy

Gastric volvulus and wandering spleen; a life-threatening surgical emergency.
Mirza A, Khan N, Shahid A, Khan K
J Pak Med Assoc 2022 Dec;72(12):2546-2548. doi: 10.47391/JPMA.4839. PMID: 37246688
Wandering spleen, which is torsioned with the distal pancreas.
Sentürk M, Kasikci YS
Ulus Travma Acil Cerrahi Derg 2022 Sep;28(9):1363-1365. doi: 10.14744/tjtes.2021.34288. PMID: 36043920Free PMC Article
Diagnosis and treatment of splenic torsion in children: preoperative thrombocytosis predicts splenic infarction.
Wang Z, Peng C, Wu D, Wang K, Chen Y
BMC Pediatr 2022 Jul 22;22(1):440. doi: 10.1186/s12887-022-03484-y. PMID: 35864485Free PMC Article
A wandering spleen, splenomegaly, hypersplenism, and iron deficiency anaemia.
Pouchot J, Couprie A
Lancet 2020 Aug 8;396(10248):412. doi: 10.1016/S0140-6736(20)31552-X. PMID: 32771108
Laparoscopic splenopexy for wandering spleen, a video demonstration of technique by encircling the spleen with polyglactin 910 woven mesh.
Morgan S, Glenn I, Soldes O
Surg Endosc 2017 Dec;31(12):5427-5428. Epub 2017 Jul 21 doi: 10.1007/s00464-017-5630-x. PMID: 28733740

Prognosis

Patients with gastric volvulus recurrence have high incidence of wandering spleen requiring laparoscopic gastropexy and splenopexy.
Nakagawa Y, Uchida H, Amano H, Hinoki A, Tainaka T, Shirota C, Sumida W, Yokota K, Makita S, Okamoto M, Takimoto A, Yasui A, Takada S, Kato D
Pediatr Surg Int 2022 Jun;38(6):875-881. Epub 2022 Apr 7 doi: 10.1007/s00383-022-05125-y. PMID: 35391540
Splenic volvulus of a wandering spleen.
Schaeffer WJ, Mahmood SMJ, Vermillion SA, Sweet R, Haas NL
Am J Emerg Med 2021 Mar;41:265.e1-265.e3. Epub 2020 Aug 19 doi: 10.1016/j.ajem.2020.08.048. PMID: 33041134
Emergencies in the Treatment of Wandering Spleen.
Cohen O, Baazov A, Samuk I, Schwarz M, Kravarusic D, Freud E
Isr Med Assoc J 2018 Jun;20(6):354-357. PMID: 29911755
Wandering spleen.
Abba AA, Al-Harthy MS
Saudi Med J 2003 Dec;24(12):1404-5. PMID: 14710296
The spleen: development and functional evaluation.
Sty JR, Conway JJ
Semin Nucl Med 1985 Jul;15(3):276-98. doi: 10.1016/s0001-2998(85)80005-2. PMID: 3898381

Clinical prediction guides

Diagnosis and treatment of splenic torsion in children: preoperative thrombocytosis predicts splenic infarction.
Wang Z, Peng C, Wu D, Wang K, Chen Y
BMC Pediatr 2022 Jul 22;22(1):440. doi: 10.1186/s12887-022-03484-y. PMID: 35864485Free PMC Article
Torsion of a wandering spleen: a case report.
Kaabar N, Ben Abdallah R, Yengui H, Hellal Y, Ben Malek R, Bouthour H, Sayed S
Tunis Med 2014 Apr;92(4):275-7. PMID: 25224425
Unusual association of omphalocele and wandering spleen.
Yilmaz O, Genc A, Ozcan T, Aygoren RS, Taneli C
Eur Surg Res 2008;41(4):331-3. Epub 2008 Sep 18 doi: 10.1159/000155899. PMID: 18799886
Laparoscopic splenic procedures in children: experience in 231 children.
Rescorla FJ, West KW, Engum SA, Grosfeld JL
Ann Surg 2007 Oct;246(4):683-7; discussion 687-8. doi: 10.1097/SLA.0b013e318155abb9. PMID: 17893505
Wandering spleen--the radiological and clinical spectrum.
Gordon DH, Burrell MI, Levin DC, Mueller CF, Becker JA
Radiology 1977 Oct;125(1):39-46. doi: 10.1148/125.1.39. PMID: 897185

Recent systematic reviews

Gastric outlet obstruction secondary to a wandering spleen: systematic review and surgical management of a case.
Moore E, O'Brien JW, Merali N, Farkas N, Madhavan A, Abbassi-Ghadi N, Preston S, Singh P
Ann R Coll Surg Engl 2023 Jul;105(6):501-506. Epub 2023 Jan 23 doi: 10.1308/rcsann.2022.0149. PMID: 36688842Free PMC Article
Diagnosis, management and outcome of splenic torsion; a systematic review of published studies.
Bough GM, Gargan KE, Cleeve SJ, Farrell S
Surgeon 2022 Oct;20(5):e296-e305. Epub 2021 Oct 16 doi: 10.1016/j.surge.2021.08.006. PMID: 34666939
Surgical Approach of Wandering Spleen in Infants and Children: A Systematic Review.
Ganarin A, Fascetti Leon F, La Pergola E, Gamba P
J Laparoendosc Adv Surg Tech A 2021 Apr;31(4):468-477. Epub 2021 Jan 11 doi: 10.1089/lap.2020.0759. PMID: 33428514
"Wandering spleen" as a rare cause of recurrent abdominal pain: a systematic review.
Barabino M, Luigiano C, Pellicano R, Giovenzana M, Santambrogio R, Pisani A, Ierardi AM, Palamara MA, Consolo P, Giacobbe G, Fagoonee S, Eusebi LH, Opocher E
Minerva Chir 2019 Aug;74(4):359-363. Epub 2018 Jul 18 doi: 10.23736/S0026-4733.18.07841-0. PMID: 30019879

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