Wandering spleen as an asymptomatic pelvic mass.
BACKGROUND
Wandering spleen is caused by laxity of the ligaments surrounding the spleen and may present as an asymptomatic pelvic mass.


METHODS
A 20-year-old woman with a neurogenic bladder was diagnosed with a pelvic mass on a routine screening ultrasound. The mass was described as solid and multilobulated, with the lobules measuring up to 5 cm in diameter. She was completely asymptomatic. Exploratory laparotomy revealed a wandering spleen.


CONCLUSIONS
Wandering spleen, though unusual, should be included on the differential diagnosis of patients with an asymptomatic solid pelvic mass.
Department of Obstetrics and Gynecology, State University of New York Upstate Medical University, Syracuse, New York 13210, USA. dalpec@upstate.edu
Chantell
C
Dalpe
Mary
M
Cunningham
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007813:Laparotomy; D010386:Pelvic Neoplasms / Q000175:diagnosis*; D013154:Spleen / Q000002:abnormalities* / Q000473:pathology; D013158:Splenic Diseases / Q000175:diagnosis*; D014102:Torsion Abnormality