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.
Dalpe
Chantell
C
Department of Obstetrics and Gynecology, State University of New York Upstate Medical University, Syracuse, New York 13210, USA. dalpec@upstate.edu
Cunningham
Mary
M
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