Wandering spleen torsion with splenic vein thrombosis: A case report

Wandering spleen is a rare condition characterized by the absence or underdevelopment of one or all of the ligaments that hold the spleen in its normal position in the left upper quadrant of the abdomen. It is an uncommon clinical entity that mainly affects children. Among adults, it most frequently affects women of reproductive age, in whom acquired laxity of the splenic ligaments is usually the cause. Patients with a wandering spleen may be asymptomatic, or may present with a movable mass in the abdomen. They can have chronic or intermittent abdominal pain because of partial torsion and spontaneous detorsion of the spleen. Given the nonspecific clinical symptoms and the potential complications associated with a wandering spleen, computed tomography provides crucial means for proper diagnosis. In this article, we report the case of a 17-year-old female patient presenting with a wandering spleen torsion and spleen vein thrombosis.