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Vandrande mjälte – ovanlig men viktig differentialdiagnos vid akut buksmärta hos barn
Engelsk titel: Torsion of wandering spleen – unusual cause to acute abdominal pain in pediatric patients Läs online Författare: Hurtig, Jennie ; Gkekas, Ioannis ; Näsvall, Pia Språk: Swe Antal referenser: 15 Dokumenttyp: Fallbeskrivning UI-nummer: 19010275

Tidskrift

Läkartidningen 2018;115(47)1942-3 ISSN 0023-7205 E-ISSN 1652-7518 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Wandering spleen is a rare reason for acute abdominal pain in pediatric patients caused by laxity of the splenic ligaments. It can be complicated by torsion of the pedicle, leading to ischemia, a situation that in most cases results in acute abdominal surgery. To prevent ischemia of a mobile spleen caused by a total occlusion of the pedicle, splenopexy can be considered. We present an unusual case where changes in the position of the operating table during diagnostic laparoscopy might have caused a total occlusion of the pedicle.