title: Tale of a wandering spleen: 1800 degree torsion with infarcted spleen and secondary involvement of liver.
abstract: Wandering spleen is a rare clinical entity characterized by splenic hypermobility resulting from laxity or maldevelopment of the suspensory splenic ligaments. The spleen can "wander" or migrate into various positions within the abdomen or pelvis due to this ligamentous laxity. It is usually detected between 20 and 40 years of age, and is more common in women. The clinical presentation of a wandering spleen is variable, it could present as an asymptomatic, incidentally detected, abdominal or pelvic mass, or as an acute abdomen secondary to splenic torsion. Diagnosis in an emergent setting can be challenging as it is a rare cause of acute abdomen and does not produce any symptoms until splenic torsion has occurred. We present and discuss a case of ectopic, torsed spleen resulting in complete infarction of the spleen and severe hepatic vascular compromise, diagnosed by ultrasound, confirmed by computed tomography and effectively managed by splenectomy.
authors.affiliation: Faculty of Medicine, Zagazig university, Egypt.
authors.forename: Safia F A
authors.initials: SF
authors.lastname: Maksoud
authors.affiliation: Department of Clinical Radiology, Al Sabah Hospital, Kuwait.
authors.forename: Nayanatara
authors.initials: N
authors.lastname: Swamy
authors.affiliation: Faculty of Medicine, Ain Shams University, Egypt.
authors.forename: Nivan Hany
authors.initials: NH
authors.lastname: Khater
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D005260:Female; D006801:Humans; D008099:Liver / Q000473:pathology; D008107:Liver Diseases / Q000175:diagnosis* / Q000473:pathology; D013156:Splenectomy; D013159:Splenic Infarction / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D050805:Wandering Spleen / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery
keywords: Acute abdomen; Computed tomography; Ectopic spleen; Infarction; Torsion; Ultrasound; Wandering spleen