Acute Torsion of the Wandering Spleen: A Case Report

The wandering spleen is caused by congenital absence of suspensory ligaments or abnormally long ligaments [1]. It is an uncommon clinical condition. The clinical presentation of wandering spleen is variable, but the most dangerous complication is splenic torsion [2], which can subsequently cause splenic infarction and rupture. We present a case of a 17-year-old girl who presented with acute abdominal pain and an abdominal contrast enhanced computed tomography revealed complete splenic infarction due to torsion of the splenic pedicle, consistent with a wandering spleen. The patient underwent an emergent laparotomy through a midline incision. A spleen was found, with its pedicle completely torsed. The spleen had no attachments to the abdominal wall or diaphragm and appeared non vital. as de-rotation did not revascularize the organ. A total splenectomy was performed without complications, and she was discharged in stable condition on the fifth postoperative day, with appropriate post-splenectomy antibiotic prophylaxis and immunizations. During the 3 month follow-up, the patient showed normal conditions with no recurrent episodes of abdominal pain.