Technique of Splenopexy for Wandering Spleen

Lauren McCormack, MD, Wilbur Bowne, MD

Department of Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA (Drs McCormack and Bowne).


Introduction: Wandering spleen is a rare condition in which the spleen lacks or has extreme laxity of associated ligaments, enabling it to float freely throughout the abdomen. This condition most commonly presents as splenic ischemia secondary to torsion of the vascular pedicle and is most commonly treated with splenectomy over splenic salvage.

Case Description: We present the case of a 34-year-old woman with wandering spleen who underwent a technique for laparoscopic splenopexy in which a fibrin sealant is applied between the splenic capsule and lateral abdominal wall for splenic fixation.

Conclusion: This technique can be performed by surgeons trained in basic laparoscopy and may be used to increase splenic salvage.

Key Words: Splenopexy, Wandering spleen.

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