A torted wandering spleen: a case report.

Abstract

INTRODUCTION:

A torted wandering spleen is a rare clinical occurrence with fewer than 500 cases reported and an incidence of less than 0.2%. It is brought about through laxity of the gastrosplenic and splenorenal ligaments; however, the precise aetiology remains unknown. It can prove to be a diagnostic challenge with high mortality if misdiagnosed.

CASE PRESENTATION:

We present the case of a 27-year-old woman of Arabic ethnicity, who complained of a short history of severe abdominal pain with the background of recurrent abdominal pain and vomiting. An abdominal computerized tomography scan revealed a torted wandering spleen. This required a splenectomy due to splenic infarction.

CONCLUSION:

This report highlights the investigations and management necessary for a patient who presents with an ischaemic torted wandering spleen.

• Authors: Aman Sharma, Gisella Salerno
• Journal: Journal of medical case reports (J Med Case Rep) Vol. 8 Pg. 133 (May 01 2014) ISSN: 1752-1947 [Electronic] England
• PMID: 24886115 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Female
• Humans
• Splenectomy
• Splenic Infarction (diagnostic imaging, etiology, surgery)
• Tomography, X-Ray Computed
• Torsion Abnormality (complications, diagnostic imaging, surgery)
• Wandering Spleen (complications, diagnostic imaging, surgery)