Published online Oct 16, 2021. doi: 10.12998/wjcc.v9.i29.8812
Peer-review started: March 5, 2021
First decision: May 11, 2021
Revised: May 24, 2021
Accepted: August 23, 2021
Article in press: August 23, 2021
Published online: October 16, 2021
Processing time: 224 Days and 5.6 Hours
The floating spleen refers to the spleen moving away from the normal anatomical position to other parts of the abdominal cavity.
In this report, we describe two cases of torsion of floating spleen, which were successfully treated by laparoscopic partial splenectomy and retroperitoneal fixation of the residual spleen. The clinical characteristics of previously reported cases are also discussed.
In conclusion, laparoscopic partial resection of splenic volvulus infarction and extraperitoneal fixation of residual spleen are safe and reliable.
Core Tip: The floating spleen refers to the spleen moving away from the normal anatomical position to other parts of the abdominal cavity. Because the spleen lacks the support of its inherent attached ligaments, it is easy to cause splenic pedicle torsion and splenic infarction, which in turn leads to inflammatory fibrosis and peripheral inflammatory adhesion. Clinical diagnosis is very difficult. Therefore, we describe two cases of torsion of floating spleen, which were successfully treated by laparoscopic partial splenectomy and retroperitoneal fixation of residual spleen. The clinical characteristics of previously reported cases are also discussed.