PMC4582471_01
Computed tomography of the abdomen revealed the huge wandering spleen (black arrows) cranial of the urinary bladder in the lesser pelvis.
IPRS-01-14-g-001.jpg
PMC4582471_01_IPRS-01-14-g-001.jpg
F1
After admission to our hospital we performed a sonography followed by a computed tomography of the abdomen which revealed a pronounced splenomegaly with ectopy cranial of the urinary bladder and torsion of the splenic vein (Figure 1 (Fig. 1)).
Intraabdominally the huge spleen was found in the lesser pelvis.
IPRS-01-14-g-002.jpg
PMC4582471_01_IPRS-01-14-g-002.jpg
F2
Intraabdominally the huge spleen was found in the lesser pelvis (Figure 2 (Fig. 2)) with torsion of the splenic vessels (Figure 3A (Fig. 3)).
The CT graphical assumed torsion of the splenic vessels could be confirmed (A) and the laparoscopic abscission of the vessels was performed (B).
IPRS-01-14-g-003.jpg
PMC4582471_01_IPRS-01-14-g-003.jpg
F3
Intraabdominally the huge spleen was found in the lesser pelvis (Figure 2 (Fig. 2)) with torsion of the splenic vessels (Figure 3A (Fig. 3)). Detorsion of the spleen following stapled transection of splenic vessels was performed (Figure 3B (Fig. 3)).
A large extraction bag was inserted (A). Following fragmenting the spleen into small pieces, the extraction bag was recovered using a 3 cm long cut of the sectio cicatrice (B).
IPRS-01-14-g-004.jpg
PMC4582471_01_IPRS-01-14-g-004.jpg
F4
Subsequently the spleen was placed in an inserted large extraction bag (Figure 4A (Fig. 4)). Inside the extraction bag the spleen was fragmented into small pieces and the extraction bag was recovered using a small cut of the sectio cicatrice (Figure 4B (Fig. 4)).