Abstract: Wandering spleen is a rare condition characterized by the absence of the spleen in its normal anatomical position due to congenital or acquired abnormalities of its suspensory ligaments. This anomaly predisposes the spleen to torsion and infarction due to the formation of a long vascular pedicle. It can also be rarely complicated by pseudocyst formation. The condition is most commonly observed in multiparous women aged 20–40 years and is often asymptomatic, though it may present with acute or intermittent abdominal pain. Diagnosis relies on radiological imaging, including ultrasound, CT, and nuclear scans, which identify the ectopic spleen and assess complications. Management primarily involves surgical intervention, with splenopexy preferred in viable spleens and splenectomy reserved for cases with infarction or massive splenomegaly.
Adke et al. (Wed,) studied this question.