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Valeria Ramos

National Autonomous University of Mexico, Mexico

Title: Splenic torsion: A rare cause of acute abdomen. Case report

Abstract

Background: Splenic torsion is an extremely rare condition, accounting for less than 0.2% of all splenectomies, and a rare cause of acute abdomen in pediatric patients, with a reported 44 cases worldwide. It can occur in people of all ages, with a higher incidence in men than in women in a 2.5:1 ratio during the first year of life and 1:1 in the first 10 years of life.

Clinical Case: A 3 year 11-month-old female preschooler, previously healthy, who was admitted to our hospital unit due to a 48-hour evolution of generalized abdominal pain, fever, and vomit; where the physical examination, laboratory studies and imaging diagnosed an acute abdomen with suspected appendicitis Immediate surgical intervention was performed, finding a wandering spleen performing splenectomy. 

Conclusions: Splenic torsion is an extremely rare condition, and an uncommon cause of acute abdomen in pediatric patients, presenting highly variable symptoms from acute abdominal pain, data of peritoneal irritation or the presence of a palpable mass in the left hypochondrium. The treatment of this pathology is surgical performing a splenectomy or splenopexy. Early care, as in all ischemic diseases, is key to the preservation of the organ.

Biography

Valeria Ramos is a pediatrician graduated from the National Autonomous University of Mexico, she has published in the pediatric research archives, she has participated in various pediatric congresses, she had the opportunity to travel to South America on exchange, she is currently doing a subspecialty in neonatology.