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Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country

Year: 2019

Type: article

Abstract: Abdominal or pelvic ectopic spleen or wandering spleen or drifting spleen is extremely rare. It is a consequence of congenital or acquired laxity of this organ’s attachment to the diaphragmatic dome, especially the suspensor ligament. The authors report a new typical case of this pathology in a 27-year-old woman, having came to consultation for painfull pelvic mass in the Joseph Ravoahangy Andrianavalona University Hospital Center in Antananarivo Madagascar, which is a precarious country. The positive diagnostic of this pathology and its surgical approach are often limited by the locally available tools and the financial accessibility of the patient to them. Ultrasonography and Computed Tomography imaging show the emptiness of the splenic lodge, localize the spleen with its size, and precise its vascularisation’s pathway. The symptoms are naturally latent until complication appears. Surgery is more formally indicated in case of complication or because of the risk of confusion with parasitic splenomegaly which has a high prevalence in a tropical country as Madagascar. Splenopexy can exposes to more recurrences, systemacic splenectomy can expose to risks of more postoperative infection even it is more practiced. As proposed in the literature, laparoscopy could and should be developed because it does not have any eventful recovery.

Source: European Journal of Clinical and Biomedical Sciences

DOI: 10.11648/j.ejcbs.20190506.14

Authors: Solonirina Davidà Rakotomen, Narindra Njarasoa Mihaja Razafimanjato, Kanto Adrienne Razafindraibe, Auberlin Felantsoa Rakototiana, Hery Nirina Rakoto-Ratsimba

Institution: University of Antananarivo

Language: English

Topic: Abdominal Trauma and Injuries

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W2996769201