Torsion of the wandering spleen.
We report 2 cases of torsion of the wandering spleen that illustrate the roentgenologic features of this unusual condition. These are an abdominal mass, usually in the left flank of pelvis; absence of the splenic shadow beneath the left diaphragm; extrinsic compression of the colon at the level of the phrenicocoloc ligaments by the elongated splenic pedicle; and evidence of splenic vein occlusion, as indicated by gastric varices in the absence of esophageal varices. A combination of these findings should permit diagnosis or lead to angiographic or isotopic studies to confirm the presence of a wandering spleen.
D000328:Adult; D005260:Female; D006801:Humans; D011172:Portography; D013154:Spleen / Q000002:abnormalities / Q000473:pathology; D013156:Splenectomy; D013158:Splenic Diseases / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D013159:Splenic Infarction / Q000473:pathology; D013927:Thrombosis / Q000473:pathology; D014102:Torsion Abnormality