title: Wandering spleen, gastric and pancreatic volvulus and right-sided descending and sigmoid colon.
abstract: Wandering spleen is a rare condition, characterized by a mobile spleen that is attached only by an elongated vascular pedicle, allowing it to migrate to any part of the abdomen or pelvis. Mesenteroaxial gastric volvulus usually occurs in children and may be associated with wandering spleen. Both entities result from abnormal laxity or absence of the peritoneal attachments due to abnormal fusion of the peritoneal mesenteries. Pancreatic volvulus is a very rare anomaly, with only a few isolated case reports described in association with wandering spleen. Anomalous right sided descending and sigmoid colon is a very rare entity and its association with wandering spleen has not been previously reported. We report a case of wandering spleen associated with mesenteroaxial gastric volvulus, pancreatic volvulus and rightward shift of the splenic flexure of the colon and right sided descending and sigmoid colon in a young female.
authors.affiliation: Department of Radiology, Hospital Universitario de A Coruña, A Coruña, Spain.
authors.forename: Enrique
authors.initials: E
authors.lastname: Flores-Ríos
authors.affiliation: Department of Radiology, Hospital Universitario de A Coruña, A Coruña, Spain.
authors.forename: Cristina
authors.initials: C
authors.lastname: Méndez-Díaz
authors.affiliation: Department of Radiology, Hospital Universitario de A Coruña, A Coruña, Spain.
authors.forename: Esther
authors.initials: E
authors.lastname: Rodríguez-García
authors.affiliation: Department of Radiology, Hospital Universitario de A Coruña, A Coruña, Spain.
authors.forename: Tania
authors.initials: T
authors.lastname: Pérez-Ramos
mesh_terms: D044683:Colon, Descending / Q000002:abnormalities* / Q000000981:diagnostic imaging; D012809:Colon, Sigmoid / Q000002:abnormalities* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D045822:Intestinal Volvulus / Q000150:complications* / Q000000981:diagnostic imaging; D010179:Pancreas / Q000002:abnormalities* / Q000000981:diagnostic imaging; D011379:Prognosis; D011859:Radiography; D013277:Stomach Volvulus / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology; D014102:Torsion Abnormality / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology; D050805:Wandering Spleen / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology; D055815:Young Adult
keywords: Colon; Computed tomography; Ectopic spleen; Gastric volvulus; Pancreatic volvulus; Wandering spleen