Wandering Spleen: A Rare Case of an Adnexal Lesion

Abstract

The wandering spleen (WS) is a rare condition in which the spleen is not found in its usual location in the left hypochondrium but is positioned in the lower abdomen or the pelvis. This is a case of a 21-year-old woman who presented with chronic, intermittent, and subtle pain in the left lower quadrant of her abdomen. After clinical examination and ultrasound evaluation, an adnexal lesion was detected in the left lumbar area, and no splenic tissue was found in the left hypochondrium. The wandering spleen should be included in the differential diagnosis when encountering a patient with non-typical or acute abdominal pain. Accurate diagnostic evaluation can be performed with low-cost imaging modalities such as Doppler ultrasound.

Splenectomy for wandering splenomegaly in a patient with idiopathic thrombocytopenic purpura: A case report of a rare association

“…However, many acquired conditions may cause weakness of suspensory ligaments, such as injuries, connective tissue disease, or multiparity. Splenomegaly, which occurs in chronic myeloid leukaemia, lymphoma, malaria, and lymphosarcoma, is another acquired cause of WS [5] . This pathology may arise in people of all ages.…”

“…It can be a congenital or acquired condition [3] , [4] . Its incidence is <0.5 %, frequently reported in females [5] . Diagnosis is often an occasional finding during radiological exams [6] .…”