Ultrasound diagnosis of torsion of an ectopic (wandering) spleen: a brief literature review and a case report in a 14-year-old girl

The article presents a case of ultrasound diagnosis of torsion of an ectopic spleen in a 14-year-old girl who underwent surgery during the neonatal period for a left-sided congenital diaphragmatic hernia. The ultrasound findings of this extremely rare condition—manifesting clinically as an acute abdomen and requiring emergency surgical intervention—are described in detail. Attention is drawn to the key ultrasound signs that raised suspicion for this pathology and indicated the need for surgical treatment. The article emphasizes the importance of maintaining a high index of clinical suspicion for this uncommon developmental anomaly and highlights the crucial role of ultrasound examination in its diagnosis. A brief literature review is provided, addressing the developmental nature of the condition and the challenges of its preoperative diagnosis.