Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 16, 2021; 9(29): 8812-8819
Published online Oct 16, 2021. doi: 10.12998/wjcc.v9.i29.8812
Successful treatment of floating splenic volvulus: Two case reports and a literature review
Chi Sun, Suo-Lin Li
Chi Sun, Suo-Lin Li, Department of Pediatric Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China
Author contributions: Sun C was responsible for the study design, manuscript editing and review, was the guarantor of the integrity of the entire study, and conceived the study; Li SL was responsible for the manuscript preparation and literature research; All authors read and approved the final manuscript.
Informed consent statement: This study has obtained written consent from the parent/guardian of the study participants.
Conflict-of-interest statement: There are no potential conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Suo-Lin Li, MM, Doctor, Department of Pediatric Surgery, The Second Hospital of Hebei Medical University, No. 215 Heping West Road, Shijiazhuang 050000, Hebei Province, China. lsuolin@163.com
Received: March 5, 2021
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
Core Tip

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.