title: Torsion of a wandering spleen: an unusual abdominal catastrophe.
abstract: Wandering spleen is a rare clinical entity characterised by splenic hypermobility resulting from laxity or maldevelopment of the suspensory gastrosplenic, splenorenal, and phrenicocolic ligaments. Diagnosis is quite difficult, especially in children because of the lack of symptoms and signs until splenic torsion have occurred. An array of investigations is possible but US with color Doppler, CT with intravenous contrast and MRI are frequently being used to diagnose wandering spleen with or without torsion. We present a case of 5 years old child with torsion of wandering spleen to highlight the importance of prompt diagnosis and management.
authors.affiliation: Department of Paediatric Surgery, King Faisal Hospital, Taif, Saudi Arabia.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Riaz ul Haq
authors.affiliation: Department of Paediatric Surgery, King Faisal Hospital, Taif, Saudi Arabia.
authors.forename: Elbagir
authors.initials: E
authors.lastname: Elhassan
authors.affiliation: Department of Paediatric Surgery, King Faisal Hospital, Taif, Saudi Arabia.
authors.forename: Diaa
authors.initials: D
authors.lastname: Mahdi
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007813:Laparotomy; D013154:Spleen / Q000002:abnormalities* / Q000000981:diagnostic imaging; D013156:Splenectomy; D013158:Splenic Diseases / Q000175:diagnosis* / Q000601:surgery; D013159:Splenic Infarction / Q000175:diagnosis* / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D050805:Wandering Spleen / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery