PMC6717052_01
Spleen.
gr1.jpg
PMC6717052_01_gr1.jpg
fig0005
As shown in Fig. 1, Fig. 2 an anterior displacement of the spleen and splenic vascular pedicle was noticed.
Spleen.
gr3.jpg
PMC6717052_01_gr3.jpg
fig0015
The operative findings showed that showed an enlarged and congested spleen overlying the bowels (Fig. 3, Fig. 4) and the absence of the spleen from its normal position.
Spleen.
gr5.jpg
PMC6717052_01_gr5.jpg
fig0025
The spleen was not infracted but was congested and twisted three times around its long vascular pedicle (Fig. 5).
Spleen.
gr6.jpg
PMC6717052_01_gr6.jpg
fig0030
The extra peritoneal pouch was created in the left lateral abdominal wall just below the 11th rib (Fig. 6).
Spleen.
gr7b.jpg
PMC6717052_01_gr7b.jpg
fig0035
Next, the spleen was placed in between the extra peritoneal pouch and the splenopexy was performed (Fig. 7).