Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country

Solonirina Davidà Rakotomen; Narindra Njarasoa Mihaja Razafimanjato; Kanto Adrienne Razafindraibe; Auberlin Felantsoa Rakototiana; Hery Nirina Rakoto-Ratsimba

doi:doi:10.11648/j.ejcbs.20190506.14

Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country

Solonirina Davidà Rakotomen, Narindra Njarasoa Mihaja Razafimanjato, Kanto Adrienne Razafindraibe, Auberlin Felantsoa Rakototiana, Hery Nirina Rakoto-Ratsimba

Published in European Journal of Clinical and Biomedical Sciences (Volume 5, Issue 6)

Received: 19 November 2019 Accepted: 9 December 2019 Published: 30 December 2019

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Abstract

Abdominal or pelvic ectopic spleen or wandering spleen or drifting spleen is extremely rare. It is a consequence of congenital or acquired laxity of this organ’s attachment to the diaphragmatic dome, especially the suspensor ligament. The authors report a new typical case of this pathology in a 27-year-old woman, having came to consultation for painfull pelvic mass in the Joseph Ravoahangy Andrianavalona University Hospital Center in Antananarivo Madagascar, which is a precarious country. The positive diagnostic of this pathology and its surgical approach are often limited by the locally available tools and the financial accessibility of the patient to them. Ultrasonography and Computed Tomography imaging show the emptiness of the splenic lodge, localize the spleen with its size, and precise its vascularisation’s pathway. The symptoms are naturally latent until complication appears. Surgery is more formally indicated in case of complication or because of the risk of confusion with parasitic splenomegaly which has a high prevalence in a tropical country as Madagascar. Splenopexy can exposes to more recurrences, systemacic splenectomy can expose to risks of more postoperative infection even it is more practiced. As proposed in the literature, laparoscopy could and should be developed because it does not have any eventful recovery.

Published in	European Journal of Clinical and Biomedical Sciences (Volume 5, Issue 6)
DOI	10.11648/j.ejcbs.20190506.14
Page(s)	89-91
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Diagnostic Imaging, Ectopic Spleen, Wandering Spleen, Surgical Approach, Precarious Country

References

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[6]	Chin KJ, Adhikary S, Sarwani N, et al. The analgesic efficacy of pre-operative bilateral erector spinae plane (ESP) blocks in patients having ventral hernia repair. Anaesthesia 2017; 72: 1-8.
[7]	Chin KJ, Malhas L, Perlas A. The Erector Spinae Plane Block Provides Visceral Abdominal Analgesia in Bariatric Surgery. Reg Anesth Pain Med 2017; 42: 372-376.
[8]	Freise H, Van Aken HK. Risks and Benefits of thoracic epidural anaesthesia. British Journal of Anaesthesia. 2011; 107 (6): 859-868.
[9]	Block BM, Liu SS, Rowlingson AJ, et al. Efficacy of Postoperative Epidural Analgesia: A Metanalysis. JAMA 2003; 290: 2455-2463.
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Solonirina Davidà Rakotomen, Narindra Njarasoa Mihaja Razafimanjato, Kanto Adrienne Razafindraibe, Auberlin Felantsoa Rakototiana, Hery Nirina Rakoto-Ratsimba. (2019). Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country. European Journal of Clinical and Biomedical Sciences, 5(6), 89-91. https://doi.org/10.11648/j.ejcbs.20190506.14

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ACS Style

Solonirina Davidà Rakotomen; Narindra Njarasoa Mihaja Razafimanjato; Kanto Adrienne Razafindraibe; Auberlin Felantsoa Rakototiana; Hery Nirina Rakoto-Ratsimba. Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country. Eur. J. Clin. Biomed. Sci. 2019, 5(6), 89-91. doi: 10.11648/j.ejcbs.20190506.14

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AMA Style

Solonirina Davidà Rakotomen, Narindra Njarasoa Mihaja Razafimanjato, Kanto Adrienne Razafindraibe, Auberlin Felantsoa Rakototiana, Hery Nirina Rakoto-Ratsimba. Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country. Eur J Clin Biomed Sci. 2019;5(6):89-91. doi: 10.11648/j.ejcbs.20190506.14

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@article{10.11648/j.ejcbs.20190506.14,
  author = {Solonirina Davidà Rakotomen and Narindra Njarasoa Mihaja Razafimanjato and Kanto Adrienne Razafindraibe and Auberlin Felantsoa Rakototiana and Hery Nirina Rakoto-Ratsimba},
  title = {Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country},
  journal = {European Journal of Clinical and Biomedical Sciences},
  volume = {5},
  number = {6},
  pages = {89-91},
  doi = {10.11648/j.ejcbs.20190506.14},
  url = {https://doi.org/10.11648/j.ejcbs.20190506.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20190506.14},
  abstract = {Abdominal or pelvic ectopic spleen or wandering spleen or drifting spleen is extremely rare. It is a consequence of congenital or acquired laxity of this organ’s attachment to the diaphragmatic dome, especially the suspensor ligament. The authors report a new typical case of this pathology in a 27-year-old woman, having came to consultation for painfull pelvic mass in the Joseph Ravoahangy Andrianavalona University Hospital Center in Antananarivo Madagascar, which is a precarious country. The positive diagnostic of this pathology and its surgical approach are often limited by the locally available tools and the financial accessibility of the patient to them. Ultrasonography and Computed Tomography imaging show the emptiness of the splenic lodge, localize the spleen with its size, and precise its vascularisation’s pathway. The symptoms are naturally latent until complication appears. Surgery is more formally indicated in case of complication or because of the risk of confusion with parasitic splenomegaly which has a high prevalence in a tropical country as Madagascar. Splenopexy can exposes to more recurrences, systemacic splenectomy can expose to risks of more postoperative infection even it is more practiced. As proposed in the literature, laparoscopy could and should be developed because it does not have any eventful recovery.},
 year = {2019}
}

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TY  - JOUR
T1  - Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country
AU  - Solonirina Davidà Rakotomen
AU  - Narindra Njarasoa Mihaja Razafimanjato
AU  - Kanto Adrienne Razafindraibe
AU  - Auberlin Felantsoa Rakototiana
AU  - Hery Nirina Rakoto-Ratsimba
Y1  - 2019/12/30
PY  - 2019
N1  - https://doi.org/10.11648/j.ejcbs.20190506.14
DO  - 10.11648/j.ejcbs.20190506.14
T2  - European Journal of Clinical and Biomedical Sciences
JF  - European Journal of Clinical and Biomedical Sciences
JO  - European Journal of Clinical and Biomedical Sciences
SP  - 89
EP  - 91
PB  - Science Publishing Group
SN  - 2575-5005
UR  - https://doi.org/10.11648/j.ejcbs.20190506.14
AB  - Abdominal or pelvic ectopic spleen or wandering spleen or drifting spleen is extremely rare. It is a consequence of congenital or acquired laxity of this organ’s attachment to the diaphragmatic dome, especially the suspensor ligament. The authors report a new typical case of this pathology in a 27-year-old woman, having came to consultation for painfull pelvic mass in the Joseph Ravoahangy Andrianavalona University Hospital Center in Antananarivo Madagascar, which is a precarious country. The positive diagnostic of this pathology and its surgical approach are often limited by the locally available tools and the financial accessibility of the patient to them. Ultrasonography and Computed Tomography imaging show the emptiness of the splenic lodge, localize the spleen with its size, and precise its vascularisation’s pathway. The symptoms are naturally latent until complication appears. Surgery is more formally indicated in case of complication or because of the risk of confusion with parasitic splenomegaly which has a high prevalence in a tropical country as Madagascar. Splenopexy can exposes to more recurrences, systemacic splenectomy can expose to risks of more postoperative infection even it is more practiced. As proposed in the literature, laparoscopy could and should be developed because it does not have any eventful recovery.
VL  - 5
IS  - 6
ER  -

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Author Information

Solonirina Davidà Rakotomen

Department of Visceral Surgery, Joseph Ravoahangy Andrianavalona University Hospital Center, Antananarivo, Madagascar
Narindra Njarasoa Mihaja Razafimanjato

Department of Thoracic Surgery, Joseph Ravoahangy Andrianavalona University Hospital Center, Antananarivo, Madagascar
Kanto Adrienne Razafindraibe

Department of Medical Imaging, Joseph Ravoahangy Andrianavalona University Hospital Center, Antananarivo, Madagascar
Auberlin Felantsoa Rakototiana

Department of Urology, Joseph Ravoahangy Andrianavalona University Hospital Center, Antananarivo, Madagascar
Hery Nirina Rakoto-Ratsimba

Department of Visceral Surgery, Joseph Ravoahangy Andrianavalona University Hospital Center, Antananarivo, Madagascar

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APA Style

Solonirina Davidà Rakotomen, Narindra Njarasoa Mihaja Razafimanjato, Kanto Adrienne Razafindraibe, Auberlin Felantsoa Rakototiana, Hery Nirina Rakoto-Ratsimba. (2019). Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country. European Journal of Clinical and Biomedical Sciences, 5(6), 89-91. https://doi.org/10.11648/j.ejcbs.20190506.14

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ACS Style

Solonirina Davidà Rakotomen; Narindra Njarasoa Mihaja Razafimanjato; Kanto Adrienne Razafindraibe; Auberlin Felantsoa Rakototiana; Hery Nirina Rakoto-Ratsimba. Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country. Eur. J. Clin. Biomed. Sci. 2019, 5(6), 89-91. doi: 10.11648/j.ejcbs.20190506.14

Copy | Download

AMA Style

Solonirina Davidà Rakotomen, Narindra Njarasoa Mihaja Razafimanjato, Kanto Adrienne Razafindraibe, Auberlin Felantsoa Rakototiana, Hery Nirina Rakoto-Ratsimba. Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country. Eur J Clin Biomed Sci. 2019;5(6):89-91. doi: 10.11648/j.ejcbs.20190506.14

Copy | Download

@article{10.11648/j.ejcbs.20190506.14,
  author = {Solonirina Davidà Rakotomen and Narindra Njarasoa Mihaja Razafimanjato and Kanto Adrienne Razafindraibe and Auberlin Felantsoa Rakototiana and Hery Nirina Rakoto-Ratsimba},
  title = {Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country},
  journal = {European Journal of Clinical and Biomedical Sciences},
  volume = {5},
  number = {6},
  pages = {89-91},
  doi = {10.11648/j.ejcbs.20190506.14},
  url = {https://doi.org/10.11648/j.ejcbs.20190506.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20190506.14},
  abstract = {Abdominal or pelvic ectopic spleen or wandering spleen or drifting spleen is extremely rare. It is a consequence of congenital or acquired laxity of this organ’s attachment to the diaphragmatic dome, especially the suspensor ligament. The authors report a new typical case of this pathology in a 27-year-old woman, having came to consultation for painfull pelvic mass in the Joseph Ravoahangy Andrianavalona University Hospital Center in Antananarivo Madagascar, which is a precarious country. The positive diagnostic of this pathology and its surgical approach are often limited by the locally available tools and the financial accessibility of the patient to them. Ultrasonography and Computed Tomography imaging show the emptiness of the splenic lodge, localize the spleen with its size, and precise its vascularisation’s pathway. The symptoms are naturally latent until complication appears. Surgery is more formally indicated in case of complication or because of the risk of confusion with parasitic splenomegaly which has a high prevalence in a tropical country as Madagascar. Splenopexy can exposes to more recurrences, systemacic splenectomy can expose to risks of more postoperative infection even it is more practiced. As proposed in the literature, laparoscopy could and should be developed because it does not have any eventful recovery.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Diagnosis and Management’s Distinctive Features of an Ectopic Spleen in a Precarious Country
AU  - Solonirina Davidà Rakotomen
AU  - Narindra Njarasoa Mihaja Razafimanjato
AU  - Kanto Adrienne Razafindraibe
AU  - Auberlin Felantsoa Rakototiana
AU  - Hery Nirina Rakoto-Ratsimba
Y1  - 2019/12/30
PY  - 2019
N1  - https://doi.org/10.11648/j.ejcbs.20190506.14
DO  - 10.11648/j.ejcbs.20190506.14
T2  - European Journal of Clinical and Biomedical Sciences
JF  - European Journal of Clinical and Biomedical Sciences
JO  - European Journal of Clinical and Biomedical Sciences
SP  - 89
EP  - 91
PB  - Science Publishing Group
SN  - 2575-5005
UR  - https://doi.org/10.11648/j.ejcbs.20190506.14
AB  - Abdominal or pelvic ectopic spleen or wandering spleen or drifting spleen is extremely rare. It is a consequence of congenital or acquired laxity of this organ’s attachment to the diaphragmatic dome, especially the suspensor ligament. The authors report a new typical case of this pathology in a 27-year-old woman, having came to consultation for painfull pelvic mass in the Joseph Ravoahangy Andrianavalona University Hospital Center in Antananarivo Madagascar, which is a precarious country. The positive diagnostic of this pathology and its surgical approach are often limited by the locally available tools and the financial accessibility of the patient to them. Ultrasonography and Computed Tomography imaging show the emptiness of the splenic lodge, localize the spleen with its size, and precise its vascularisation’s pathway. The symptoms are naturally latent until complication appears. Surgery is more formally indicated in case of complication or because of the risk of confusion with parasitic splenomegaly which has a high prevalence in a tropical country as Madagascar. Splenopexy can exposes to more recurrences, systemacic splenectomy can expose to risks of more postoperative infection even it is more practiced. As proposed in the literature, laparoscopy could and should be developed because it does not have any eventful recovery.
VL  - 5
IS  - 6
ER  -

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