The online version of this article (doi:10.1186/1752-1947-8-133) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
AS made substantial contributions to: conception, design, acquisition of data, analysis and interpretation of data and was involved in drafting the manuscript. GS was involved in revising the manuscript critically for important intellectual content. Both authors read and approved the final manuscript.
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.
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.
This report highlights the investigations and management necessary for a patient who presents with an ischaemic torted wandering spleen.
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Satydas T, Nasir N, Bradpiece HA: Wandering spleen: case report and literature review. J R Coll of Surg Edin. 2002, 47: 512-514.
Buehner M, Baker MS: The wandering spleen. Surg Gynecol Obstet. 1992, 175: 373- PubMed
Gomez D, Patel R, Rahman SH, Guthrie JA, Menon KV: Torsion of a wandering spleen associated with congenital malrotation of the gastrointestinal tract. Int J Radiol. 2006, 5: 1-
Ben Elya A, Zissinb R, Copela L, Vassermana M, Hertzc M, Gottlieba P, Gayera G: The wandering spleen: CT findings and possible pitfalls in diagnosis. Clin Radiol. 2006, 61: 954-958. 10.1016/j.crad.2006.06.007. CrossRef
Karmazyn B, Steinberg R, Gayer G, Grozovski S, Freud E, Kornreich L: Wandering spleen-the challenge of ultrasound diagnosis: report of 7 cases. J Clin Ultrasound. 2005, 33: 9- CrossRef
Steinberg R, Karmazyn B, Dlugy E, Gelber E, Freud E, Horev G, Zer M: Clinical presentation of wandering spleen. J Pediatr Surg. 2002, 37: 30-
Rodkey ML, Macknin ML: Pediatric wandering spleen: case report and review of the literature. Clin Pediatr (Phila). 1992, 31: 289-294. 10.1177/000992289203100505. CrossRef
- A torted wandering spleen: a case report
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