title: Splenorenal collaterals as hallmark for a twisted wandering spleen in a 14-year-old girl with abdominal pain: a case report.
abstract: Wandering spleen is a rare cause of acute or chronic recurrent abdominal pain with a risk of splenic torsion and infarction. We describe a case of a 14-year-old girl with chronic recurrent abdominal pain with a palpable spleen in normal position on the initial physical examination. Laboratory findings were normal. A normal blood flow was seen on the initial (color Doppler) sonography. Magnetic resonance imaging showed an enlarged spleen in the pelvic region with torsion of hilar pedicle and splenorenal collaterals. Semielective, a laparoscopic splenopexy was performed without complications. A twisted wandering spleen should be included in the differential diagnosis of recurrent abdominal pain despite possible normal positioning of the spleen. The presence of splenorenal collaterals on imaging techniques can be used as a diagnostic hallmark.
authors.affiliation: Department of Internal Medicine, Sint Franciscus Gasthuis, Rotterdam, The Netherlands.
authors.forename: Rashidi
authors.initials: R
authors.lastname: Rellum
authors.affiliation: Department of Radiology, Ruwaard van Putten Hospital, Spijkenisse, The Netherlands.
authors.forename: Gerard
authors.initials: G
authors.lastname: Risseeuw
authors.affiliation: Department of Pediatric Surgery, Radboud Medical Centre, Nijmegen, The Netherlands.
authors.forename: Ivo de
authors.initials: Id
authors.lastname: Blaauw
authors.affiliation: Department of Radiology, Sophia Childrens Hospital, Rotterdam, The Netherlands.
authors.forename: Maarten
authors.initials: M
authors.lastname: Lequin
keywords: spleen; torsion; wandering