Wandering spleen in the pelvic region in an adult man with symptoms of acute abdomen

作者：Makhlouf Nahed A^*; Morsy Khairy H; Ammar Samir; Mohammed Radwan A; Yousef Hazem A; Mostafa Mohamed G

来源：Arab Journal of Gastroenterology, 2016, 17(1): 49-52.

DOI：10.1016/j.ajg.2016.03.003

• Wandering spleen
• Torsion
• Abdominal pain
• Splenectomy
• Computed tomography (CT)

Wandering or ectopic spleen is a condition characterised by migration of spleen in the abdomen or pelvis. This anomaly is rare, with a reported incidence of < 0.2%. It occurs mostly in women between 20 and 40 years of age. Clinical diagnosis is difficult because of lack of precise signs, symptoms, and nonspecific laboratory data. Diagnosis of a wandering spleen highly depends on the results of imaging studies such as abdominal ultrasound and abdominopelvic computed tomography (CT) scanning. Treatment includes surgery with the choice between splenopexy in a noninfarcted spleen and splenectomy when infarction has occurred. We report a rare case of wandering spleen in a 27-year-old man with infarction due to torsion of its pedicle, which was diagnosed by CT and treated by splenectomy. Conclusion: Despite the rarity of wandering spleen, the possibility of torsion of its long pedicle with acute splenic infarction should be considered in the differential diagnosis of acute abdomen.

• 出版日期2016-3