Gastric volvulus and wandering spleen; a life-threatening surgical emergency

Authors

  • Aazma Mirza Department of Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan
  • Naeem Khan Department of Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan
  • Ayesha Shahid Department of Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan
  • Kamran Khan Department of Accident and Emergency, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

DOI:

https://doi.org/10.47391/JPMA.4839

Abstract

Wandering spleen and gastric volvulus are two of the rarely encountered conditions occurring together with or without other congenital and acquired defects. These potentially fatal conditions originate from a shared cause, i.e. the defect of intraperitoneal ligaments resulting in a failure to withhold these organs at their anatomical position and alignment. This can come to attention in both childhood and/or adulthood, and the diagnosis calls for a high degree of suspicion and a failure to diagnose can culminate in death of both the organs, i.e. the spleen and stomach. We are presenting the case of a 20-year-old girl who underwent an emergency laparotomy for gastric volvulus and wandering spleen.

Keywords: Spleen, volvulus, surgery, torsion

Author Biographies

Aazma Mirza, Department of Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

postgraduate trainee year 4 at surgery ward 2

Naeem Khan, Department of Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

assistant professor general surgery

Ayesha Shahid, Department of Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

House surgeon at surgery ward 2 

Kamran Khan, Department of Accident and Emergency, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

postgraduate trainee year 3 at the accident and emergency department 

Published

2022-11-15

How to Cite

Mirza, A. ., Khan, N. ., Shahid, A. . ., & Khan, K. (2022). Gastric volvulus and wandering spleen; a life-threatening surgical emergency. Journal of the Pakistan Medical Association, 72(12), 2546–2548. https://doi.org/10.47391/JPMA.4839

Issue

Section

Case Report