Volume 5, Issue 6, December 2019, Page: 89-91
Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country
Solonirina Davidà Rakotomen, Department of Visceral Surgery, Joseph Ravoahangy Andrianavalona University Hospital Center, Antananarivo, Madagascar
Narindra Njarasoa Mihaja Razafimanjato, Department of Thoracic Surgery, Joseph Ravoahangy Andrianavalona University Hospital Center, Antananarivo, Madagascar
Kanto Adrienne Razafindraibe, Department of Medical Imaging, Joseph Ravoahangy Andrianavalona University Hospital Center, Antananarivo, Madagascar
Auberlin Felantsoa Rakototiana, Department of Urology, Joseph Ravoahangy Andrianavalona University Hospital Center, Antananarivo, Madagascar
Hery Nirina Rakoto-Ratsimba, Department of Visceral Surgery, Joseph Ravoahangy Andrianavalona University Hospital Center, Antananarivo, Madagascar
Received: Nov. 19, 2019;       Accepted: Dec. 9, 2019;       Published: Dec. 30, 2019
DOI: 10.11648/j.ejcbs.20190506.14      View  269      Downloads  94
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.
Keywords
Diagnostic Imaging, Ectopic Spleen, Wandering Spleen, Surgical Approach, Precarious Country
To cite this article
Solonirina Davidà Rakotomen, Narindra Njarasoa Mihaja Razafimanjato, Kanto Adrienne Razafindraibe, Auberlin Felantsoa Rakototiana, Hery Nirina Rakoto-Ratsimba, Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country, European Journal of Clinical and Biomedical Sciences. Vol. 5, No. 6, 2019, pp. 89-91. doi: 10.11648/j.ejcbs.20190506.14
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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