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2025, Number 1

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Cir Gen 2025; 47 (1)

Epidermoid cyst in wandering spleen simulating ovarian tumor

Reyna LBG, Marín SCD, Torre OMA, Gudiño ALM, Saucedo SAA
Full text How to cite this article 10.35366/119613

DOI

DOI: 10.35366/119613
URL: https://dx.doi.org/10.35366/119613

Language: Spanish
References: 7
Page: 48-52
PDF size: 479.11 Kb.


Key words:

wandering spleen, spleen cyst, splenic ligaments, splenectomy, ovaric tumor.

ABSTRACT

Introduction: wandering spleen is a rare medical condition with an incidence rate of less than 0.2%, where the spleen moves from its normal position to another location in the abdominal or pelvic cavity, affecting primarily young women. Presentation of case: this case involves a 16-year-old teenager who experienced chronic abdominal pain with an increased abdominal diameter. An exploratory laparotomy was performed, where a wandering spleen was found in the pelvis with an epidermoid cyst measuring 9 × 8 cm. A splenectomy was performed, and the patient had a favorable postoperative recovery. Conclusions: wandering spleen is a poorly understood condition with a variable and often nonspecific clinical presentation, a diagnosis typically relies on imaging studies. Complications may include intestinal obstruction, portal venous thrombosis, and torsion of the vascular pedicle. Treatment options may involve splenectomy or splenopexy, depending on the clinical situation and evidence of complications.


REFERENCES

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  2. Reisner DC, Burgan CM. Wandering spleen: an overview. Curr Probl Diagn Radiol. 2018; 47: 68-70.

  3. Nowak B, Fielding GA, Pachter HL. Treatment of splenic cysts. Laparosc Surg. 2021; 5: 11.

  4. De Andrés-Asenjo B, Fernández-González N. Torsión aguda de bazo errante, causa poco frecuente de abdomen agudo. Cir Cir. 2012; 80: 283-286.

  5. Saldívar-Martínez DE, Galindo-Sánchez HM, Fonseca-Sada I, Marcos-Ramírez ER, Vázquez-Fernández F. Bazo errante infartado y vólvulo de cola de páncreas en un paciente con hernia de Grynfelt-Lesshaft concomitante. Cir Cir. 2021; 89: 20-22.

  6. Tagliabue F, Chiarelli M, Confalonieri G, Pesenti G, Beretta S, Cappello A, et al. The wandering spleen. J Gastrointest Surg. 2017; 22: 546-547.

  7. Kenney CD, Hoeger YE, Yetasook AK, Linn JG, Denham EW, Carbray J, et al. Management of non-parasitic splenic cysts: does size really matter? J Gastrointest Surg. 2014; 18: 1658-1663.




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Cir Gen. 2025;47