“…However, a few cases can occur in the liver, adrenal glands, ovaries, scrotum, and pelvic cavity. 1,2 In this case, we found that the ligaments around the spleen were absent, which was considered the main cause of the heterotopic spleen, an anomaly that is very rare in 15-year-olds. The intermittent abdominal pain was caused by the intermittent ischemia from distortion of splenic vessels, which was a result of the twisting of the enlarged spleen.…”