**9. Conclusion**

The diagnosis of wandering spleen is extremely difficult to establish because it is such a rare condition and is clinically nonspecific.

Early diagnosis and surgical care are the best guarantees for preserving the spleen. Additional imaging examinations, especially abdominal sonogram as the imaging examination of choice, can help establish a diagnosis when faced with an abnormal location of the spleen. Splenopexy and gastropexy are two surgical fixation approaches aiming to maintain the viable spleen in place.

The results of the gastropexy procedures seem encouraging, but faced with such a small number of cases, no conclusion can be established. Gastropexy seems to avoid the risk of

Laparoscopic Gastropexy

*Surg* 33: 1571-3.

255–257.

*Ultrasound* 33: 433-8.

*Int* 26.(10): 1053-5.

91.

*Emerg Care* 19: 412–414.

child, *J Pediatr Surg* 35: 641-2.

for the Treatment of Wandering Spleen With or Without Gastric Volvulus 221

Gomez, D., Patel, R., Rahman, SH., Guthrie, JA., Menon, KV. (2006). Torsion Of A

Hirose, R., Kitano, S., Bando, T., Ueda, Y., Sato, K., Yoshida, T., Suenobu, S., Kawano, T.,

Karmazyn, B., Steinberg, R., Gayer, G., Grozovski, S., Freud, E., Kornreich, L. (2005).

Kleiner, O., Newman, N., Cohen, Z. (2006). Pediatric wandering spleen successfully treated by laparoscopic splenopexy, *J Laparo- endosc Adv Surg Tech A* 16: 328–330. Lacreuse, I., Moog, R., Kauffmann, I., Méfat, L., Bailey, C., Becmeur, F. (2007). Laparoscopic

Lin, CH., Wu, SF., Lin, WC., Chen, AC. (2005). Wandering spleen with torsion and gastric

Liu, HT., Lau, KK. (2007). Wandering spleen: an unusual association with gastric volvulus,

Lu, CC., Chen, HH., Hsieh, MJ. (2004). Wandering spleen presenting as gastric outlet obstruction after repair of traumatic diaphragmatic hernia, *J Trauma* 56.(2): 431-2. Marinaccio, F., Caldarulo, E., Nobili, M., Magistro, D., Marinaccio, M. (2005). Uncommon etiology of acute abdomen in pediatric age: the torsion of spleen, *G Chir* 26: 34-6. Mayo, A., Erez, I., Lazar, L., Rathaus, V., Konen, O., Freud, E. (2001). Volvulus of the

Okazaki, T., Ohata, R., Miyano, G., J.Lane, G., Takahashi, T. (2010). Laparoscopic splenopexy

Qazi, A., Awadalla, S. (2004). Wandering spleen: a rare cause of mesenteroaxial gastric

Romero, J., Barksdale, E. (2003). Wandering spleen: A rare cause of abdominal pain, *Pediatr* 

Sanchez, R., Lobert, P., Herman, R., O'Malley, R., Mychaliska, G. (2010). Wandering spleen

Soleimani, M., Mehrabi, A., Kashfi, A., Fonouni, H., Büchler, MW., Kraus, TW. (2007).

Spector, JM., Chappell, J. (2000). Gastric volvulus associated with wandering spleen in a

Steinberg, R., Karmazyn, B., Dlugy, E., Freud, E., Horev, G., Zer, M. (2002). Clinical

Yasuda, H., Inoue, M., Uchida, K., Otake, K., Koike, Y., Fujikawa, H., Miki, C., Kusunoki, M.

stomach in childhood: The spectrum of the disease, *Pediatr Emerg Care* 17: 344–348.

and gastropexy for wandering spleen associated with gastric volvulus, *Pediatr Surg* 

causing gastric outlet obstruction and pancreatitis*, Pediatr Radiol.* 40.(Suppl 1): S89-

Surgical treatment of patients with wandering spleen: Report of six cases with a

(2010). Wandering spleen causing intestinal obstruction after repair of congenital

Tract, *The Internet Journal of Radiology.* Volume 5

volvulus, *J Formos Med Assoc* 104: 755–758.

*AJR Am J Roentgenol.* 188.(4): 328-30.

volvulus, *Pediatr Surg Int* 20: 878-80.

review of the literature, *Surg Today* 37: 261–269.

presentation of wandering spleen, *J Pediatr Surg* 10: E30.

diaphragmatic hernia, *Eur J Pediatr Surg* 20.(2): 121-3.

Wandering Spleen Associated With Congenital Malrotation Of The Gastrointestinal

Izumi, T. (1998). Laparoscopic splenopexy for pediatric wandering spleen, *J Pediatr* 

Wandering spleen—the challenge of ultrasound diagnosis: report of 7 cases, *J Clin* 

splenopexy for a wandering spleen in a child, J *Laparoendosc Adv Surg Tech A* 17:

gastric volvulus by restoring the best possible physiological anatomy while preserving the spleen by lack of manipulation.

#### **10. References**


gastric volvulus by restoring the best possible physiological anatomy while preserving the

Allen, KB., Andrews, G. (1989). Pediatric wandering spleen. The case for splenopexy: Review of 35 reported cases in the literature, *J Pediatr Surg* 24: 432–435. Arleo, EK., Kovanlikaya, A., Mennitt, K., Acharya, S., Brill, PW. (2010). Multimodality

Balliu, PR., Bregante, J., Pérez-Velasco, MC., Fiol, M., Galiana, C., Herrera, M., Mulet, J.

Ben Ely, A., Zissin, R., Copel, L. Vasserman, M., Hertz, M., Gottlieb, P., Gayer, G. (2006). The

Bohrer, JV. (1940). Torsion of a wandering spleen : complicated by diaphragmatic hernia,

Brown, C., Virgilio, G., Vazquez, D. (2003). Wandering spleen and its complications in children: A case series and review of the literature, *J Pediatr Surg* 38: 1676–1679. Carmona, J., Lugo Vicente, H. (2010). Laparoscopic splenectomy for infarcted splenoptosis

Cavazos, S., Ratzer, ER., Fenoglio, ME. (2004). Laparoscopic management of the wandering

Cripps, M., Svahn, J. (2010). Hand-assisted laparoscopy for wandering spleen, *Surg Endosc*.

De Foer, B., Breysem, L., Smet, MH., Baert, AL. (1994). Late-onset Bochdalek hernia with a rare postoperative complication: case report. *Pediatr Radiol.* 24.(4):306-7 Di Crosta, I., Inserra, A., Gil, CP., Pisani, M., Ponticelli, A. (2009). Abdominal pain and

Dirican, A., Burak, I., Ara, C., Unal, B., Ozgor, D., Meydanli, MM. (2009). Torsion of

François-Fiquet, C., Belouadah, M., Chauvet, P., Lefebvre, F., Lefort,G., Poli-Merol, ML.

Fiquet-Francois, C., Belouadah, M., Ludot, H., Defauw, B., Mcheik, JN., Bonnet, JP.,

Ghazeeri, G., Nassar, AH., Taher, AT., Musallam, KM., Jamali, FR. (2010). The wanderer At

with wandering spleen, *J Laparoendosc Adv Surg Tech* 19: 137-9.

wandering spleen in young children: the importance of an early diagnosis, *J Pediatr* 

(2009). Laparoscopic gastropexy for the treatment of gastric volvulus associated

Kanmegne, CU., Weil, D., Coupry, L., Fremont, B., Becmeur, F., Lacreuse, I., Montupet, P., Rahal, E., Botto, N., Cheikhelard, A., Sarnacki, S., Petit, T., Poli Merol, ML. (2010). Wandering spleen in children: multicenter retrospective study, *Journal* 

12 weeks' gestation, the patient presented with abdominal pain and a palpable

(2004). Splenic haemorrhage in a newborn as the first manifestation of wandering

wandering spleen: CT findings and possible pitfalls in diagnosis, *Clin Radiol* 61:

imaging of a neonatal wandering spleen, *Clin Imaging* 34.(4): 302-5*.*

spleen syndrome, *J Pediatr Surg* 39.(2): 240-2.

in a child: a case report, *Bol Asoc Med P R* 102.(2): 47-9.

spleen, *J Laparoendosc Adv Surg Tech A* 14: 227–229. Couinaud, C. (1963). Anatomie de l'abdomen. Tome 1. Edition Doin. Paris.

wandering spleen, *Bratisl Lek Listy* 110.(11): 723-5.

*of Pediatric Surgery* 45.(7): 1519–1524.

mass, *Am J Obstet Gynecol* 202.(6): 662 e1.

spleen by lack of manipulation.

**10. References** 

954-8.

25.(1): 312.

*Surg* 44: 1446-9.

*Ann Surg.* 111.(3): 416-26.


**Miscellaneous Laparoscopic Procedures** 

Yilmaz, O., Genc, A., Ozcan, T., Aygoren, RS., Taneli, C. (2008). Unusual association of omphalocele and wandering spleen, *Eur Surg Res* 41.(4): 331-3. **Part 6** 
