Ultrasound diagnosis of torsion of an ectopic (wandering) spleen: a brief literature review and a case report in a 14-year-old girl
https://doi.org/10.24835/1607-0771-328
Abstract
The article presents a case of ultrasound diagnosis of torsion of an ectopic spleen in a 14-year-old girl who underwent surgery during the neonatal period for a left-sided congenital diaphragmatic hernia. The ultrasound findings of this extremely rare condition—manifesting clinically as an acute abdomen and requiring emergency surgical intervention—are described in detail. Attention is drawn to the key ultrasound signs that raised suspicion for this pathology and indicated the need for surgical treatment. The article emphasizes the importance of maintaining a high index of clinical suspicion for this uncommon developmental anomaly and highlights the crucial role of ultrasound examination in its diagnosis. A brief literature review is provided, addressing the developmental nature of the condition and the challenges of its preoperative diagnosis.
About the Authors
M. N. Bulanov
Regional Clinical Hospital; Yaroslav-the-Wise Novgorod State University;
Russian Federation
Russian Federation
Mikhail N. Bulanov – MD, Doct. of Sci. (Med.), Head of Ultrasound Diagnostics Department, Regional Clinical Hospital, Vladimir; Professor, Division of Internal Medicine, Institute of Medical Education, Yaroslav-the-Wise Novgorod State University, Veliky Novgorod
https://orcid.org/0000-0001-8295-768X
E. V. Dmitrieva
Regional Children's Clinical Hospital
Russian Federation
Russian Federation
Ekaterina V. Dmitrieva – MD, PhD, Head of Ultrasound and Functional Diagnostics Department, Regional Clinical Children’s Hospital, Vladimir
https://orcid.org/0000-0003-1924-2803
T. S. Nesterenko
Regional Children's Clinical Hospital
Russian Federation
Russian Federation
Tatiana S. Nesterenko – MD, Surgery Department, Regional Clinical Children’s Hospital, Vladimir
https://orcid.org/0009-0005-2862-7440
N. T. Zurbaev
Regional Children's Clinical Hospital
Russian Federation
Russian Federation
Nodari T. Zurbaev – MD, MD, Doct. of Sci. (Med.), Professor, Chief of the Medical Unit for Surgery, Regional Clinical Children’s Hospital, Vladimir
https://orcid.org/0000-0003-0086-8208
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For citations:
Bulanov M.N., Dmitrieva E.V., Nesterenko T.S., Zurbaev N.T. Ultrasound diagnosis of torsion of an ectopic (wandering) spleen: a brief literature review and a case report in a 14-year-old girl. Ultrasound & Functional Diagnostics. 2025;31(3):46-62. (In Russ.) https://doi.org/10.24835/1607-0771-328
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