title: The torsion of a wandering pelvic spleen: A case report.
abstract: A 15 years old patient was taken to the operative room for an explorative laparotomy due to abdominal pain and a pelvic spleen at preoperative computed tomography: was pointed out the absence of all splenic ligamentous attachments and short gastric vessels with a consequently dislocation of a bigger and congested spleen in the pelvis. This organ, wrapped in the omentum, was in a serious ischemic suffering due to a 720 degrees clock torsion around its exceptionally long pedicle (about 20 cm); besides was confirmed pancreatic body and tail ectopy. Following the derotation, the volume of the organ has decreased but became fixed in above norm dimensions. A total splenectomy was executed.
authors.affiliation: Division of General Surgery, Ospedale Misericordia e Dolce, P,za dell'ospedale 5, 59100 Prato, Italy. fferoci@yahoo.it.
authors.forename: Francesco
authors.initials: F
authors.lastname: Feroci
authors.forename: Egidio
authors.initials: E
authors.lastname: Miranda
authors.forename: Luca
authors.initials: L
authors.lastname: Moraldi
authors.forename: Renato
authors.initials: R
authors.lastname: Moretti
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