PMC4005091_01
Figure 1:Operative photograph showing a large congested spleen in the umbilical region, with no ligamentous attachments and is twisted 360 degrees clockwise on its vascular pedicle.
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F1
The splenic pedicle (15 cm long) was twisted clockwise (Fig. 1).
Figure 2:Operative photograph after omental wrapping and splenopexy to anterior abdominal wall.
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F2
Omentum was wrapped over spleen and it was fixed to anterior abdominal wall in left hypochondrium (Fig. 2).