Wandering Spleen: A Rare Condition with Splenic Torsion and Infarction in an Elderly Patient | [Liaquat National Journal of Primary Care • 2024]

Author(s):

1. Uzma p Aanhwer: Department of Radiology, Liaquat National Hospital and Medical College,Karachi,Pakistan

2. Raisa Altaf: Department of Radiology, Liaquat National Hospital and Medical College,Karachi,Pakistan

3. Hina Naseer: Department of Radiology, Liaquat National Hospital and Medical College,Karachi,Pakistan

4. Imtiaz Ali: Department of Radiology, Liaquat National Hospital and Medical College,Karachi,Pakistan

5. Ramsha Fatima Qureshi: Department of Radiology, Liaquat National Hospital and Medical College,Karachi,Pakistan

6. Nimra Ali: Department of Radiology, Liaquat National Hospital and Medical College,Karachi,Pakistan

Abstract:

Ectopic spleen or wandering spleen is an uncommon presentation in which the spleen's anatomical location is diferent from its fixed position in the left upper quadrant of the abdomen, due to the absence of the typical peritoneal attachments; the spleen is more mobile inside the abdomen. Congenital or acquired conditions are the cause of this anomaly, which could ultimately result in torsion and splenic infarction. Less than 0.2% of wandering spleen cases are reported annually, making it a rare clinical manifestation. Splenic vascular pedicle torsion can result in complications that can cause symptoms of an acute abdomen as a result of ischemic necrosis of the spleen. Computed tomography and ultrasonography with Doppler or CEUS are essential for accurate diagnosis due to the vague clinical signs and potential complications. This case involves a 70-year-old elderly woman who complained of extreme abdominal pain and vomiting for three days. On physical examination, a tense right lower quadrant lump was palpated, when she visited the emergency room. An urgent CT scan was done for the acute abdomen which revealed torsion of the splenic pedicle in a wandering spleen.

Page(s): 96-98

DOI: 10.37184/lnjpc.2707-3521.6.10

Published: Journal: Liaquat National Journal of Primary Care, Volume: 6, Issue: 1, Year: 2024

Keywords:

Wandering spleen , ectopic spleen , splenic infarction , splenic torsion

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