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Arch Dis Child doi:10.1136/archdischild-2012-303481
  • Images in paediatrics

Acute abdomen due to splenic torsion

  1. Wolfgang Pumberger1
  1. 1Department of Pediatric Surgery, Women's and Children's Hospital Linz, Linz, Austria
  2. 2Department of Pediatric Radiology, Women's and Children's Hospital Linz, Linz, Austria
  1. Correspondence to Dr Simon Kargl, Department of Pediatric Surgery, Women's and Children's Hospital Linz, Krankenhausstraße 26-30, Linz A-4020, Austria; kargl.simon{at}gmail.com
  • Received 6 December 2012
  • Revised 15 January 2013
  • Accepted 23 January 2013
  • Published Online First 16 February 2013

A 14-year-old girl presented to our department for having collapsed after an acute episode of epigastric pain and vomiting. Past medical history was uneventful; in particular no previous abdominal complaints were mentioned. Physical examination showed a palpable tenderness in the epigastric region. Initially, gastroenteritis was suspected. Abdominal ultrasound revealed massive splenomegaly and in Doppler ultrasound splenic vein thrombosis was suspected. CT with CT angiography showed an enlarged, non-enhancing spleen with characteristic signs of splenic torsion (whirl …

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