Torsion of a wandering spleen

Enlarged wandering spleen treated with hemisplenectomy and fixation of the residual spleen

“…This leads to the formation of a long vascular splenic pedicle that, in turn, gives origin to the spleen's ptosis, its abnormal mobility, and, consequently, to two types of complications: acute torsion followed by splenic infarction and recurrent torsion followed by a progressive splenomegaly with hypersplenism [4,5]. The clinical presentation may vary from asymptomatic or paucisymptomatic (light abdominal complaints, mild recurrent colicky pain) or it may appear as a very movable and floating mass of variable size, localized at the mesogastrium or at the lower quadrants of the abdomen.…”

Wandering spleen: a unique cause of acute abdomen

“…In adulthood, the presentations vary from splenic incidentaloma to acute abdominal emergency or chronic gastrointestinal complaints. The commonly described presentations are intermittent, recurrent abdominal pain due to splenic congestion with intermittent torsion of the splenic pedicle and its spontaneous detorsion [8]. In children, majority presented with acute surgical abdomen due to infarction from torsion of the splenic pedicle.…”

“…For a viable spleen, splenopexy is the treatment of choice. Different techniques have been described: open or laparoscopic techniques and with or without using a mesh and peritoneal flaps [8].…”

Wandering spleen: a rare clinical entity

“…Its incidence is less that 0.5% of all splenectomies. 5 It affects both sexes but is more common in women of reproductive age and in children. About 500 patients with wandering pelvic spleen have been reported in the literatures so far.…”