The Wandering Spleen: A Case Report

REPORTlaparoscopy during which 1 L of sanguinous fluid and blood clots was aspirated from the peri-splenic area.He was noted to have a 360 torsion of the spleen in a clockwise direction and absent splenic ligaments.As the spleen was nonviable, it was extracted through a midline laparotomy.It weighed about 600 gm, measured 15 9 17 cm, and had multiple lacerations.Postoperatively, he remained stable and was discharged after 6 days.He received pneumococcal and meningococcal vaccines on follow-up after 3 weeks.At the time, he was noted to have reactive leukocytosis (leukocyte count 16,000 cells/mm 3 ) and thrombocytosis (platelet count 7,05,000 cells/mm 3 ).