Splenic torsion is a rare cause of abdominal pain that may develop due to laxity or absence of the ligaments that stabilize the spleen. A torsioned spleen may present with an acute abdomen clinically and may require urgent surgical intervention. We aimed to discuss three pediatric cases who applied to our clinic with acute abdomen symptoms after splenic torsion and their treatment approaches. Case 1: A 10-year-old female patient presented with complaints of progressive abdominal pain and non-bilious vomiting. On examination, there was abdominal tenderness and palpable fullness in the left lower quadrant. Imaging methods were compatible with splenic torsion. Laparoscopic splenectomy was performed. Case 2: A 4-year-old girl presented with complaints of abdominal pain and non-bilious vomiting. On examination, diffuse tenderness in the abdomen and defense-rebound were positive. Imaging methods were compatible with splenic torsion. On exploration, it was observed that the spleen was torsioned in different directions around the double pedicle. Splenectomy was performed. Case 3: A 5-year-old male patient was operated in another hospital with the complaint of abdominal pain, with the diagnosis of acute appendicitis, with open surgery. However, there was no improvement in the patient’s symptoms after surgery. The patient was consulted to our clinic on the 5th post-operative day. Imaging methods were found to be compatible with splenic torsion. Laparoscopic splenectomy was performed. In the pediatric population, splenic torsion can cause acute or chronic abdominal pain of unknown cause. Splenopexy should be the first goal of treatment in torsion, but splenectomy is the only treatment option in complicated cases and laparoscopy can be used safely even in complicated cases.
Dalak tortion is a rare cause of acute or abdominal pain, which can develop due to the relaxation or absence of the bonds that stabilize the dalak. A tortioned branch may require an urgent surgery. We aimed at discussing the three pediatric phenomena and treatment approaches that appeal to our clinic with the findings of the acute stomach after Dalak tortion. Fact 1: A ten-year-old girl appealed with a sick, stomach pain, impaired vomiting, a complaint. The sensitivity of the West, the fullness of the left underground, was present. The methods of imaging were compatible with the valve tortion. The patient received laparoscopic splenectomy. Fact 2: The four-year-old girl appealed with a sick, stomach pain and untouched vomiting complaint. In the West there was widespread sensitivity, defence-rebound. The methods of imaging were compatible with the valve tortion. Laparotomy and splenectomy. Fact 3: A 5-year-old male patient was operated with an open operation with a diagnosis of apandicitis in another hospital where he applied with a stomach pain complaint. If there was no healing in the patient's symptoms after surgery, we were consulted to our clinic on the fifth day of the postoperative. The methods of viewing were found compatible with the valve tortion. The patient had laparoscopic splenectomy. In the pediatric population, the cause of wave tortion can cause unknown acute or chronic abdominal pain. The primary objective of the treatment of the wave protective approach in the tortion should be, but in complicated cases, splenectomy is the only treatment option, and even in complicated cases, laparoscopy can be used safely. (SETB-2021-05-156)
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
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