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Cecchetto, G; Dall'Igna, P; Dalle Nogare, C; Gasparella, P; Zanon, GF.
Acute splenic torsion in children: which is the best treatment? A case report.
Pediatr Med Chir. 2012; 34(3):146-147
Doi: 10.4081/pmc.2012.81
(- Case Report)
PubMed
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- Co-Autor*innen der Med Uni Graz
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Gasparella Paolo
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- Abstract:
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Wandering spleen is a clinical entity which rarely affects children and adolescents. This condition can be asymptomatic or responsible of chronic pain, but it appears as a surgical emergency when an acute twisting occurs. The risk of post-splenectomy sepsis in the pediatric population suggests a conservative approach whenever possible, and also in case of acute torsion, most authors prefer to preserve the spleen and perform a splenopexy. The Authors describe a case of a child with acute splenic torsion, in whom a conservative surgical approach was initially adopted. The conservative option has to be balanced with the risk of prolonged thrombocytopenia, multiple transfusions and a possible second procedure to remove the spleen.
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Acute Disease -
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Child, Preschool -
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Female -
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Humans -
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Splenic Diseases - surgery
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Torsion Abnormality - surgery