JOURNAL OF CLINICAL SURGERY ›› 2026, Vol. 34 ›› Issue (2): 163-164.doi: 10.3969/j.issn.1005-6483.20250307

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A case of splenic infarction caused by wandering spleen with splenic pedicle torsion

  

  1. Department of General Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing 100730,China
  • Received:2025-03-28 Accepted:2025-03-28 Online:2026-02-25 Published:2026-02-25

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Abstract: A 40-year-old male patient was admitted to the hospital due to left abdominal pain for one week.Physical examination revealed significant tenderness at the level of the umbilicus on the left side of the abdomen.CT scan indicated a wandering spleen with pedicle torsion and splenic infarction.Emergency surgery was performed.During the operation,the spleen was found to be located in the middle and lower abdomen,appearing dark and necrotic.The spleen was then removed.The patient's platelet count increased significantly after the operation.Therefore,hydroxyurea and aspirin were administered.Wandering spleen is rare.Approximately 20% of patients may experience splenic torsion,which can lead to splenic infarction.Surgery is the preferred treatment approach.

Key words: wandering spleen, splenic torsion, splenic infarction, surgery

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