title: Wandering spleen in the pelvic region in an adult man with symptoms of acute abdomen.
abstract: Wandering or ectopic spleen is a condition characterised by migration of spleen in the abdomen or pelvis. This anomaly is rare, with a reported incidence of <0.2%. It occurs mostly in women between 20 and 40years of age. Clinical diagnosis is difficult because of lack of precise signs, symptoms, and nonspecific laboratory data. Diagnosis of a wandering spleen highly depends on the results of imaging studies such as abdominal ultrasound and abdominopelvic computed tomography (CT) scanning. Treatment includes surgery with the choice between splenopexy in a noninfarcted spleen and splenectomy when infarction has occurred. We report a rare case of wandering spleen in a 27-year-old man with infarction due to torsion of its pedicle, which was diagnosed by CT and treated by splenectomy.
  
  
  CONCLUSIONS
  Despite the rarity of wandering spleen, the possibility of torsion of its long pedicle with acute splenic infarction should be considered in the differential diagnosis of acute abdomen.
authors.affiliation: Department of Tropical Medicine and Gastroenterology, Assiut University Hospital, Faculty of Medicine, Assiut University, Egypt.
authors.forename: Nahed A
authors.initials: NA
authors.lastname: Makhlouf
authors.affiliation: Department of Tropical Medicine and Gastroenterology, Faculty of Medicine, Sohag University, Egypt.
authors.forename: Khairy H
authors.initials: KH
authors.lastname: Morsy
authors.affiliation: Department of General Surgery, Assiut University Hospital, Faculty of Medicine, Assiut University, Egypt.
authors.forename: Samir
authors.initials: S
authors.lastname: Ammar
authors.affiliation: Department of General Surgery, Assiut University Hospital, Faculty of Medicine, Assiut University, Egypt.
authors.forename: Radwan A
authors.initials: RA
authors.lastname: Mohammed
authors.affiliation: Department of Radiodiagnosis, Assiut University Hospital, Faculty of Medicine, Assiut University, Egypt.
authors.forename: Hazem A
authors.initials: HA
authors.lastname: Yousef
authors.affiliation: Department of Pathology, Assiut University Hospital, Faculty of Medicine, Assiut University, Egypt.
authors.forename: Mohamed G
authors.initials: MG
authors.lastname: Mostafa
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D000328:Adult; D006801:Humans; D007238:Infarction / Q000209:etiology*; D008297:Male; D010388:Pelvis; D013154:Spleen / Q000098:blood supply*; D013156:Splenectomy; D014056:Tomography, X-Ray; D014102:Torsion Abnormality / Q000150:complications* / Q000601:surgery; D050805:Wandering Spleen / Q000150:complications* / Q000601:surgery
keywords: Abdominal pain; Computed tomography (CT); Splenectomy; Torsion; Wandering spleen