Table 1 Detailed clinical information of 6 cases
No | Sex | Age (mon) | Clinical Presentation &Duration | Imaging (modality/spleen perfusion/spleen location) | Surgery (approach/degree of torsion) | Pathology | Spleen Size (cm) | Addition |
|---|---|---|---|---|---|---|---|---|
1 | F | 18.0 | abdominal pain&mass 10 days | U + contrast CT no perfusion left flank | OS 720° | total infarction | 8*6*5 | adhesion to omentum and ileum |
2 | F | 143.9 | abdominal pain&nausea 1 month | U + contrast MRI no perfusion pelvis | LS → OS 360° | total infarction &fibrosis | 15*8*6 | dense adhesion to descending colon causing conversion |
3 | M | 153.3 | abdominal pain&mass 12 months | U + contrast MRI reduced perfusion left flank | OS 360° | congestion &hemorrhage | 16*9*8 | failed to perform splenopexy due to splenomegaly |
4 | F | 61.3 | abdominal pain&fever 7 days | U + contrast MRI no perfusion pelvis | LS → OS 1800° | total infarction | 11*7*5 | intraoperative bleeding from the pedicle causing conversion |
5 | F | 170.7 | abdominal pain&vomiting 10 days | U + contrast CT partial perfusion pelvis | LS 270° | partial infarction; partial congestion &hemorrhage | 17*14*10 | gastric and pancreatic torsion; gastric varices; splenic vein thrombosis; postoperative portal vein thromboembolism |
6 | M | 9.4 | irritability &fever 5 days | U + contrast CT no perfusion of accessory spleen left flank | OS of accessory spleen 720° | total accessory spleen infarction | accessory spleen 8*5*3 | torsion of wandering accessory spleen |