The wandering spleen

The Importance of Recognizing Wandering Spleen as a Cause of Recurrent Acute Pancreatitis

“…Acute pancreatitis in this setting usually involves the inflammation of the tail of the pancreas likely in the setting of intermittent torsion of the vascular pedicle at the splenic hilum along with the tail of the pancreas which is also a part of the hilum [ 3 ]. Congenital form of wandering spleen occurs secondary to the incomplete fusion of the dorsal mesogastrium in which the spleen, body, and tail of the pancreas and the splenorenal ligament develop from [ 4 ]. The increased laxity of the spleen results in the elongation of the vascular pedicle which predisposes it to torsion [ 5 ].…”

Multidetector-Row CT Appearance of Acute Torsion of Wandering Spleen in a Child

“…It results from congenital deficiency or acquired laxity of the splenic suspensory ligaments (3, 5). The wandering spleen is usually enlarged and has a long vascular pedicle, which allows the spleen to migrate from its normal position in the left upper quadrant and is at risk of torsion around this pedicle (1–5).…”

“…Three ligaments maintain the spleen: the splenorenal ligament, the gastrosplenic ligament, and the phrenicocolic ligament (1–5). The etiology of wandering spleen remains unclear but abnormal congenital fetal development is contemplated and can result from acquired problems such as splenomegaly, abdominal trauma, non‐specific abdominal muscle laxity, and abdominal muscle laxity due to hormonal effects of pregnancy (3, 5).…”