ABSTRACT
The underdevelopment or absence of the splenic suspensary ligaments can lead to an uncommon condition termed the wandering spleen. It is usually asymptomatic but can present with an acute abdomen when associated with torsion. Most authors advocate surgical treatment. Herein, we report a case of torsion with infarction of the spleen and intestinal obstruction in a 36-year-old female patient which was successfully managed conservatively.
Subject(s)
Abdominal Pain/diagnosis , Intestinal Obstruction/therapy , Splenic Infarction/therapy , Wandering Spleen/therapy , Abdominal Pain/etiology , Adult , Early Diagnosis , Female , Humans , Intestinal Obstruction/etiology , Laparoscopy , Splenic Infarction/etiology , Torsion Abnormality , Treatment Outcome , Wandering Spleen/complications , Wandering Spleen/diagnosisABSTRACT
Wandering spleens are rare clinical entities found more commonly in women aged 20-40 years. We report one such case found in a 24-year-old nulliparous woman who presented with low abdominal pains of sudden onset and splenomegaly. An emergency abdominal CT scan showed an enlarged spleen located in the right lumbar region and extending into the pelvis. There was a long splenic pedicle containing tortuous vessels. A review of literature and the postulated aetiological factors and associations are discussed.
