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https://doi.org/10.14300/mnnc.2025.20040

Clinical case of combination of acute appendicitis with spleen torsion in a child

[Notes from practice]
Ogorodnikova Maria Vitalievna; Anna Shapkina; Ekaterina Shmyreva; Andrievskaya Ksenia Vyacheslavovna,; Zavgorodnev Andrey Vladimirovich; Yakovleva Ekaterina Petrovna;  Enaki Oksana Nikolaevna; Ranchaeva Natalia Anatolyevna;

Wandering spleen is a rare disease that can be complicated by torsion. This article offers the presentation of a rare clinical case, which is a combination of acute appendicitis aggravated by torsion of the wandering spleen in a boy. There is also a description of the clinical path and surgical care that the patient was given.

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References:
1. Ganarin A., Leon F. F., Pergola E. La., Gamba P. Surgi cal approach of wandering spleen in infants and children: A systematic review. J. Laparoendosc. Adv. surg. Tech. A. 2021;31(4):468-477. https://doi.org/10.1089/lap.2020.0759
2. Wang Z., Peng Ch., Wu D., Wang K., Chen Ya. Diagnosis and treatment of splenic torsion in children: preoperative thrombocytosis predicts splenic infarction. BMC Pediatr. 2022;22(1):440. https://doi.org/10.1186/s12887-022-03484-y
3. Peretti M., Mariotto A., Scire G., Pani E., Zambaldo S. [et al.] Wandering spleen with a ten-time twisted vascular pedicle. Pediatr. Med. Chir. 2016;38(3):119. https://doi.org/10.4081/pmc.2016.119
4. Wang Zh., Zhao Q., Huang Yu., Mo Zh., Tian Zh. [et al.] Wandering spleen with splenic torsion in a toddler: A case report and literature review. Medicine (Baltimore). 2020;99(37):e22063. https://doi.org/10.1097/MD.0000000000022063
5. Cohen O., Baazov A., Samuk I., Schwarz M., Kravarusic D. [et al.] Emergencies in the treatment of wandering spleen. Isr. Med. Assoc. J. 2018;20(6):354-357.
6. Hosoi N., Sohda M., Hara K., Saito H., Sano A. [et al.] Tor sion of the wandering spleen with intestinal obstruction. Clin. J. Gastroenterol. 2025;18(2):389-392. https://doi.org/10.1007/s12328-024-02082-y

Keywords: wandering spleen, torsion, appendicitis, children