Splenic Pedicle Volvulus in a Wandering Spleen: A Rare Pediatric Emergency

Wandering spleen is a rare clinical condition caused by laxity or absence of splenic ligaments, which allows for abnormal splenic mobility and potential torsion. Splenic torsion, the most serious complication, accounts for many symptomatic cases. We describe the case of a 13-year-old girl who had vomiting, fever, and severe abdominal pain. On examination, she was febrile and tachycardic, while other parameters were within normal limits. Abdominal examination revealed tenderness in the left upper quadrant. Imaging showed a wandering spleen and torsion with impaired blood flow and evidence of infarction. An emergency splenectomy was performed due to the total loss of splenic perfusion. This case underscores the importance of early imaging and prompt surgical intervention to prevent irreversible ischemic injury and associated morbidity.