title: Wandering spleen with gastric volvulus and intestinal non-rotation in an adult male patient.
abstract: We report an extremely rare case of wandering spleen (WS) complicated with gastric volvulus and intestinal non-rotation in a male adult. A 22-year-old man who had been previously treated for Wilson disease was admitted with severe abdominal pain. Radiological findings showed WS in the midline of the pelvic area. The stomach was mesenteroaxially twisted and intestinal non-rotation was observed. Radiology results did not show any evidence of splenic or gastrointestinal (GI) infarction. Elective emergency laparoscopy confirmed WS and intestinal non-rotation; however, gastric volvulus was not observed. It was suspected that the stomach had untwisted when gastric and laparoscopic tubes were inserted. Surgery is strongly recommended for WS because of the high risk of serious complications; however, some asymptomatic adult patients are still treated conservatively, such as the patient in this study. The present case is reported with reference to the literature.
authors.affiliation: Department of Radiology, Toho University Ohashi Medical Center, Tokyo, Japan.
authors.forename: Minako
authors.initials: M
authors.lastname: Ooka
authors.affiliation: Department of Radiology, Toho University Ohashi Medical Center, Tokyo, Japan.
authors.forename: Eiichi
authors.initials: E
authors.lastname: Kohda
authors.affiliation: Department of Radiology, Toho University Ohashi Medical Center, Tokyo, Japan.
authors.forename: Yuo
authors.initials: Y
authors.lastname: Iizuka
authors.affiliation: Department of Radiology, Toho University Ohashi Medical Center, Tokyo, Japan.
authors.forename: Masashi
authors.initials: M
authors.lastname: Nagamoto
authors.affiliation: Department of Surgery, Toho University Ohashi Medical Center, Tokyo, Japan.
authors.forename: Tomotaka
authors.initials: T
authors.lastname: Ishii
authors.affiliation: Department of Surgery, Toho University Ohashi Medical Center, Tokyo, Japan.
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Saida
authors.affiliation: Department of Pediatrics, Toho University Ohashi Medical Center, Tokyo, Japan.
authors.forename: Norikazu
authors.initials: N
authors.lastname: Shimizu
authors.affiliation: Department of Radiology, Toho University Ohashi Medical Center, Tokyo, Japan.
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Gomi
keywords: Abdomen/GI; CT; adults and pediatrics; congenital; connective tissue disorders; mesentery