Wandering spleen - Revision history

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2025-04-06T23:25:53Z

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			{{SI}}
			{{Infobox medical condition
			\| name = Wandering spleen
			\| image = [[File:Wanderingspleen.PNG\|left\|thumb\|Wandering spleen]]
			\| caption = A depiction of a wandering spleen
			\| field = [[Gastroenterology]], [[Hematology]]
			\| synonyms = Splenic ptosis, splenic torsion
			\| symptoms = Abdominal pain, palpable abdominal mass, nausea, vomiting
			\| complications = [[Splenic infarction]], [[Splenic rupture]], [[Portal hypertension]]
			\| onset = Can occur at any age, more common in children and women of reproductive age
			\| duration = Chronic or acute
			\| causes = Congenital or acquired laxity of the splenic ligaments
			\| risks = [[Pregnancy]], [[trauma]], [[connective tissue disorders]]
			\| diagnosis = [[Ultrasound]], [[CT scan]], [[MRI]]
			\| differential = [[Splenomegaly]], [[Lymphoma]], [[Gastrointestinal stromal tumor]]
			\| treatment = [[Splenectomy]], splenopexy
			\| prognosis = Good with treatment
			\| frequency = Rare
			}}
	{{Short description\|A condition where the spleen is not in its normal position}}		{{Short description\|A condition where the spleen is not in its normal position}}
	~~{{Medical condition}}~~

	~~==Wandering Spleen==~~
	~~[[File:Wanderingspleen.PNG\|thumb\|right\|Illustration of a wandering spleen]]~~
	A '''wandering spleen''' is a rare medical condition characterized by the abnormal mobility of the [[spleen]] due to the absence or laxity of the ligaments that hold it in place. This condition can lead to various complications, including [[splenic torsion]] and [[splenic infarction]].		A '''wandering spleen''' is a rare medical condition characterized by the abnormal mobility of the [[spleen]] due to the absence or laxity of the ligaments that hold it in place. This condition can lead to various complications, including [[splenic torsion]] and [[splenic infarction]].

	==Anatomy and Physiology==		==Anatomy and Physiology==
	The spleen is an organ located in the upper left quadrant of the [[abdomen]], playing a crucial role in the [[immune system]] and the filtration of [[blood]]. It is normally held in place by several ligaments, including the [[gastrosplenic ligament]], [[splenorenal ligament]], and [[phrenicocolic ligament]]. In the case of a wandering spleen, these ligaments are either absent or abnormally lax, allowing the spleen to move freely within the abdominal cavity.		The spleen is an organ located in the upper left quadrant of the [[abdomen]], playing a crucial role in the [[immune system]] and the filtration of [[blood]]. It is normally held in place by several ligaments, including the [[gastrosplenic ligament]], [[splenorenal ligament]], and [[phrenicocolic ligament]]. In the case of a wandering spleen, these ligaments are either absent or abnormally lax, allowing the spleen to move freely within the abdominal cavity.

	==Etiology==		==Etiology==
	Wandering spleen can be congenital or acquired. Congenital wandering spleen is due to developmental anomalies in the [[embryonic]] stage, while acquired cases may result from conditions that weaken the supporting ligaments, such as [[trauma]], [[pregnancy]], or certain connective tissue disorders.		Wandering spleen can be congenital or acquired. Congenital wandering spleen is due to developmental anomalies in the [[embryonic]] stage, while acquired cases may result from conditions that weaken the supporting ligaments, such as [[trauma]], [[pregnancy]], or certain connective tissue disorders.

	==Clinical Presentation==		==Clinical Presentation==
	Patients with a wandering spleen may present with a variety of symptoms, ranging from asymptomatic to acute abdominal pain. Common symptoms include:		Patients with a wandering spleen may present with a variety of symptoms, ranging from asymptomatic to acute abdominal pain. Common symptoms include:
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	* Nausea and vomiting		* Nausea and vomiting
	* Symptoms of [[splenic torsion]], such as acute abdominal pain and signs of [[peritonitis]]		* Symptoms of [[splenic torsion]], such as acute abdominal pain and signs of [[peritonitis]]

	==Diagnosis==		==Diagnosis==
	The diagnosis of a wandering spleen is typically made through imaging studies. [[Ultrasound]] and [[computed tomography]] (CT) scans are commonly used to visualize the abnormal position of the spleen and assess for complications such as torsion or infarction.		The diagnosis of a wandering spleen is typically made through imaging studies. [[Ultrasound]] and [[computed tomography]] (CT) scans are commonly used to visualize the abnormal position of the spleen and assess for complications such as torsion or infarction.

	==Complications==		==Complications==
	The most significant complication of a wandering spleen is splenic torsion, which can lead to:		The most significant complication of a wandering spleen is splenic torsion, which can lead to:
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	* [[Splenic rupture]]		* [[Splenic rupture]]
	* [[Hemorrhage]]		* [[Hemorrhage]]

	==Treatment==		==Treatment==
	The treatment of a wandering spleen often involves surgical intervention. The primary surgical options include:		The treatment of a wandering spleen often involves surgical intervention. The primary surgical options include:
	* [[Splenopexy]]: Surgical fixation of the spleen to prevent further movement and torsion.		* [[Splenopexy]]: Surgical fixation of the spleen to prevent further movement and torsion.
	* [[Splenectomy]]: Removal of the spleen, typically reserved for cases where the spleen is infarcted or necrotic.		* [[Splenectomy]]: Removal of the spleen, typically reserved for cases where the spleen is infarcted or necrotic.

	==Prognosis==		==Prognosis==
	With appropriate surgical management, the prognosis for patients with a wandering spleen is generally good. Early diagnosis and intervention are crucial to prevent complications.		With appropriate surgical management, the prognosis for patients with a wandering spleen is generally good. Early diagnosis and intervention are crucial to prevent complications.
			==See also==
	==~~Related pages~~==
	* [[Spleen]]		* [[Spleen]]
	* [[Splenic torsion]]		* [[Splenic torsion]]
	* [[Splenectomy]]		* [[Splenectomy]]
	* [[Abdominal pain]]		* [[Abdominal pain]]

	[[Category:Medical conditions]]		[[Category:Medical conditions]]
	[[Category:Spleen]]		[[Category:Spleen]]
	~~<gallery>~~		{{stub}}
	~~File:Wanderingspleen.PNG\|Wandering spleen~~
	~~</gallery>~~

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2025-02-23T21:18:34Z

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	[[Category:Medical conditions]]		[[Category:Medical conditions]]
	[[Category:Spleen]]		[[Category:Spleen]]
			<gallery>
			File:Wanderingspleen.PNG\|Wandering spleen
			</gallery>

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2025-02-15T11:39:45Z

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	{{~~top~~}}		{{Short description\|A condition where the spleen is not in its normal position}}
			{{Medical condition}}

	==~~Other Names~~==		==Wandering Spleen==
	~~Displaced~~ spleen~~; Drifting~~ spleen~~; Splenoptosis; Floating~~ spleen~~; Splenic ptosis~~.		[[File:Wanderingspleen.PNG\|thumb\|right\|Illustration of a wandering spleen]]
			A '''wandering spleen''' is a rare medical condition characterized by the abnormal mobility of the [[spleen]] due to the absence or laxity of the ligaments that hold it in place. This condition can lead to various complications, including [[splenic torsion]] and [[splenic infarction]].

	~~<youtube>~~		==Anatomy and Physiology==
	~~title~~=~~'''{{PAGENAME}}'''~~		The spleen is an organ located in the upper left quadrant of the [[abdomen]], playing a crucial role in the [[immune system]] and the filtration of [[blood]]. It is normally held in place by several ligaments, including the [[gastrosplenic ligament]], [[splenorenal ligament]], and [[phrenicocolic ligament]]. In the case of a wandering spleen, these ligaments are either absent or abnormally lax, allowing the spleen to move freely within the abdominal cavity.
	~~movie_url~~=~~http://www.youtube.com/v/5WHlZx-_VZQ~~
	~~&rel~~=1
	~~embed_source_url=http://www~~.~~youtube~~.~~com/v/5WHlZx-_VZQ~~
	~~&rel=1~~
	~~wrap = yes~~
	~~width=750~~
	~~height=600~~
	~~</youtube>~~

	==~~Clinical features~~==		==Etiology==
	Wandering [[~~spleen~~]] ~~is a rare condition~~ that ~~occurs when the spleen lacks one or more of~~ the ligaments ~~that hold the spleen in its normal position in the upper left~~ [[~~abdomen~~]].		Wandering spleen can be congenital or acquired. Congenital wandering spleen is due to developmental anomalies in the [[embryonic]] stage, while acquired cases may result from conditions that weaken the supporting ligaments, such as [[trauma]], [[pregnancy]], or certain connective tissue disorders.

	==~~Congenital wandering spleen~~==		==Clinical Presentation==
	If a ~~person is born~~ with ~~this condition it is referred~~ to as ~~congenital wandering spleen.~~		Patients with a wandering spleen may present with a variety of symptoms, ranging from asymptomatic to acute abdominal pain. Common symptoms include:
			* Intermittent abdominal pain
			* A palpable abdominal mass
			* Nausea and vomiting
			* Symptoms of [[splenic torsion]], such as acute abdominal pain and signs of [[peritonitis]]

	==~~Inheritance~~==		==Diagnosis==
	The ~~condition~~ is ~~not hereditary~~.		The diagnosis of a wandering spleen is typically made through imaging studies. [[Ultrasound]] and [[computed tomography]] (CT) scans are commonly used to visualize the abnormal position of the spleen and assess for complications such as torsion or infarction.

	==~~Cause~~==		==Complications==
	~~Acquired~~ wandering spleen ~~may occur during adulthood due~~ to ~~injuries or other underlying conditions that may weaken the ligaments that hold the spleen.~~		The most significant complication of a wandering spleen is splenic torsion, which can lead to:
			* [[Splenic infarction]]
	~~==Symptoms==~~		* [[Splenic rupture]]
	~~Symptoms of wandering spleen may include enlargement of the spleen (~~[[~~splenomegaly~~]]), [[~~abdominal pain~~]], [[~~intestinal obstruction~~]]~~, [[nausea]], [[vomiting]], [[fever]], and a lump in the abdomen or the pelvis.~~		* [[Hemorrhage]]

	~~==Asymptomatic==~~
	~~Some individuals with this condition do not have symptoms.~~

	==Treatment==		==Treatment==
	~~Treatment for this condition~~ involves ~~removal~~ of the spleen ([[~~splenectomy~~]]).		The treatment of a wandering spleen often involves surgical intervention. The primary surgical options include:
			* [[Splenopexy]]: Surgical fixation of the spleen to prevent further movement and torsion.
	~~==Complications==~~		* [[Splenectomy]]: Removal of the spleen, typically reserved for cases where the spleen is infarcted or necrotic.
	~~Because wandering~~ spleen ~~can cause life-threatening complications (such as splenic infarction~~, ~~portal hypertension, and hemorrhage), surgery to remove~~ the spleen is ~~the preferred treatment method for patients~~.

	==~~Laparoscopic splenectomy~~==		==Prognosis==
	~~Laparoscopic splenectomy is~~ the ~~typical method used~~ for spleen ~~removal~~.		With appropriate surgical management, the prognosis for patients with a wandering spleen is generally good. Early diagnosis and intervention are crucial to prevent complications.

	==~~Splenopexy~~==		==Related pages==
	~~Splenopexy (surgically fixing the floating spleen) is associated with a high risk of recurrence and complications and is not the preferred treatment choice.~~		* [[Spleen]]
	~~{{Lymphatic organ disease}}~~		* [[Splenic torsion]]
			* [[Splenectomy]]
			* [[Abdominal pain]]

	[[Category:~~Spleen (anatomy)~~]]		[[Category:Medical conditions]]
	[[Category:~~Diseases of spleen]]~~		[[Category:Spleen]]
	~~[[Category:Rare diseases~~]]

Prab at 16:02, 26 November 2020

2020-11-26T16:02:20Z

New page

{{top}}

==Other Names==
Displaced spleen; Drifting spleen; Splenoptosis; Floating spleen; Splenic ptosis.

<youtube>
title='''{{PAGENAME}}'''
movie_url=http://www.youtube.com/v/5WHlZx-_VZQ
&rel=1
embed_source_url=http://www.youtube.com/v/5WHlZx-_VZQ
&rel=1
wrap = yes
width=750
height=600
</youtube>

==Clinical features==
Wandering [[spleen]] is a rare condition that occurs when the spleen lacks one or more of the ligaments that hold the spleen in its normal position in the upper left [[abdomen]].

==Congenital wandering spleen==
If a person is born with this condition it is referred to as congenital wandering spleen.

==Inheritance==
The condition is not hereditary.

==Cause==
Acquired wandering spleen may occur during adulthood due to injuries or other underlying conditions that may weaken the ligaments that hold the spleen.

==Symptoms==
Symptoms of wandering spleen may include enlargement of the spleen ([[splenomegaly]]), [[abdominal pain]], [[intestinal obstruction]], [[nausea]], [[vomiting]], [[fever]], and a lump in the abdomen or the pelvis.

==Asymptomatic==
Some individuals with this condition do not have symptoms.

==Treatment==
Treatment for this condition involves removal of the spleen ([[splenectomy]]).

==Complications==
Because wandering spleen can cause life-threatening complications (such as splenic infarction, portal hypertension, and hemorrhage), surgery to remove the spleen is the preferred treatment method for patients.

==Laparoscopic splenectomy==
Laparoscopic splenectomy is the typical method used for spleen removal.

==Splenopexy==
Splenopexy (surgically fixing the floating spleen) is associated with a high risk of recurrence and complications and is not the preferred treatment choice.
{{Lymphatic organ disease}}

[[Category:Spleen (anatomy)]]
[[Category:Diseases of spleen]]
[[Category:Rare diseases]]