Case report reveals a wandering spleen torsion leading to acute abdomen in a young woman, indicating surgical intervention is necessary.
Wandering spleen is a rare clinical condition characterized by excessive mobility of the spleen due to the absence or dysfunction of the ligaments that usually fix the spleen in its natural position. This increased mobility can make the spleen prone to torsion and a variety of complications. During these movements, the spleen may twist around its vascular pedicle, leading to venous thrombosis and impaired venous return, congestion, or even splenic infarction. Imaging is vital for making a definitive diagnosis. We report a 27‐year‐old woman who presented to the emergency department with severe abdominal pain. On examination, a large, tender mass was identified in the hypogastric region, and she exhibited signs of an acute abdomen. A CT scan revealed an ectopic spleen that was twisted. Consequently, she was deemed a candidate for splenectomy.
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Misagh et al. (2026) studied this question.
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