Acute Torsion of a Wandering Spleen in Adults: A Case Report

Wandering spleen is a rare anomaly [1] due to a lack of anatomical fixity of the spleen with neighboring organs [2, 3]. Although it is mostly a congenital condition, it can also be acquired. The twisting of the vascular pedicle is its main potential complication, with subsequent development of splenic infarction [4]. In this article, we report the case of a 42-year-old female patient who presented to the emergency department with acute abdominal pain and vomiting. Radiological examinations showed splenic infarction. Surgical exploration revealed torsion of the splenic pedicle with advanced tissue ischemia. The spleen was devoid of ligamentous attachments. Detorsion did not allow preservation of the spleen, and splenectomy was performed.