Concurrent occurrence of a wandering spleen, organoaxial gastric volvulus, pancreatic volvulus, and cholestasis - A rare cause of an acute abdomen

George Asafu Adjaye Frimpong; E Aboagye; N K Ayisi-Boateng; K Antwi; K A Bawuah; N E Coleman; A W Nunoo; D B Danso; M Amoah; B Kwofie

doi:10.1016/j.radcr.2019.05.018

Concurrent occurrence of a wandering spleen, organoaxial gastric volvulus, pancreatic volvulus, and cholestasis - A rare cause of an acute abdomen

Radiol Case Rep. 2019 May 29;14(8):946-951. doi: 10.1016/j.radcr.2019.05.018. eCollection 2019 Aug.

Authors

George Asafu Adjaye Frimpong^{1

2}, E Aboagye¹, N K Ayisi-Boateng³, K Antwi⁴, K A Bawuah⁵, N E Coleman¹, A W Nunoo¹, D B Danso¹, M Amoah⁴, B Kwofie⁴

Affiliations

¹ Spectra Health Imaging and Interventional Radiology Centre, Post Office Box, Kumasi KS 5431, Ghana.
² Department of Radiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
³ University Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
⁴ County Hospital, Kumasi, Ghana.
⁵ Department of Radiology, Komfo Anokye Teaching Hospital, Kumasi, Ghana.

Abstract

The concurrence of wandering spleen, organoaxial gastric volvulus, and pancreatic volvulus is very rare. They have been associated with symptoms such as severe abdominal pain, abdominal distention, and vomiting. However, the diagnosis remains complicated and any delay can result in ischemia and necrosis of the organs involved. In this case presentation, we present a unique case involving a 14-year-old girl who presented initially with acute abdominal pain. Assessment with enhanced computed tomography scan led to the diagnosis of wandering spleen, organoaxial gastric volvulus, and pancreatic volvulus, in addition to cholestasis, making it the first study to report on the simultaneous occurrence of this triad and cholestasis.

Keywords: Abdominal pain; Cholestasis; Volvulus; Wandering spleen.

Publication types

Case Reports