Report / Paper metadata
Spleen-Preserving Repair of Acute Gastric Volvulus With Wandering Spleen: Anterior Gastropexy and Splenopexy in a 20-Year-Old Man
A surgical case report describes repair of a twisted stomach alongside an unusually mobile spleen in one young adult. The early recovery was uncomplicated, but missing follow-up means the report cannot show whether the repair prevented later recurrence.
What anatomical problem was reported?
The patient had gastric volvulus, in which the stomach rotates abnormally, together with a wandering spleen. Imaging placed the spleen in the right upper abdomen rather than its usual position on the left. During surgery it was back on the left, but remained freely mobile because its normal lateral attachments were absent. Position at one moment and abnormal mobility are therefore different observations.
How did the team investigate and repair it?
CT showed a markedly enlarged stomach, and a contrast study identified obstruction near its outlet. A tube drained about three litres from the stomach. An attempt to undo the twist using endoscopy did not work. The team then used robot-assisted surgery to untwist the stomach and secure both organs. Gastropexy refers to fixing the stomach in place; splenopexy refers to fixing the spleen. These terms describe the procedures, not proof that one approach is best.
Why was the spleen preserved?
The surgeons reported a spleen that looked viable, without visible infarction or torsion. They chose fixation rather than removal. That decision belongs to this particular operative situation. The case does not compare spleen-preserving surgery with removal, conventional laparoscopy or open surgery, and cannot establish comparative safety or effectiveness.
What outcome was actually observed?
The patient was discharged on the second postoperative day after an uncomplicated hospital recovery. He did not attend the planned two-week visit, and the paper reports no longer-term clinical follow-up. Early recovery is not evidence of lasting freedom from recurrence. The authors also did not formally characterize the direction or axis of the stomach rotation during surgery.
What does the report not establish?
A chromosome 22 abnormality was described by the family, but the original cytogenetic report was unavailable. The report therefore does not establish a genetic cause for the anatomical problem. The family history was also not independently confirmed from original records. One case can illustrate a possible presentation and technical response, but cannot estimate how often the combination occurs or identify the best treatment for other patients.
How to read this explanation
This original factual account uses the full case report, including its follow-up and verification limits. It does not reproduce the surgical images or provide instructions for diagnosis or treatment. Decisions about acute abdominal symptoms and surgery require clinical assessment.
- Kind
- Paper metadata
- Identifier
- PMC13644840