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CASE REPORT |
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Volume 21 |
October December 2005 |
Number 4 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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Volume 21 |
October December 2005 |
Number 4 |
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Wandering Spleen: A Challenging Diagnosis
Malak Hasan Alawi, Ahmad Khalifa, Sami Hassan Bana
ABSTRACT
Background: Wandering spleen is a rare entity with only less than 500 cases reported so far. It is diagnosed more commonly in children than in adults.
Methods: In this report we present a 12- year- old Sudanese girl admitted in King Abdul Aziz Hospital with left loin pain and vomiting.
Results: Ultra sound & C.T scan revealed that the spleen was not found in its normal anatomical position. However a well-defined, homogenous mass with a long pedicle was seen in the pelvic region and doppler ultrasonography of the splenic vessels revealed no blood flow consistent with infarction.
Conclusion: Multiple imaging modalities can be used to diagnose this condition but it is still being debated as to which is the most appropriate test. However in our opinion both ultrasonography and C.T scan are valuable diagnostic aids.
Key words: Wandering spleen, Ultrasound, C.T scan
Pak J Med Sci October-December 2005 Vol. 21 No. 4 482-484
Correspondence:
Dr. Malak Hasan Alawi
King Abdul Aziz Hospital,
P.O. Box: 7398,
Makkah, Saudi Arabia
E-Mail: m6alawi@hotmail.com
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