Wandering Infarct Spleen: A Brain Teaser: A Rare Case Report

Abstract Background: Wandering spleen is a very rare condition and has an incidence of less than 0. 2%. We discuss the case of a 37 year old gentleman who came with pain in abdomen and abdominal distention was diagnosed with ectopic spleen and was successfully treated with resuscitation, explorative laparotomy and splenectomy. Case presentation: Patient came with complaints of generalised pain in abdomen for about 3 months. Patient also complained of abdominal distention for the past 20 days. CT of abdomen and thorax was done which showed large left hemi diaphragmatic eventration with twisting of mesentry and malrotation of bowel loops with mediastinum pushed on right side. Due to prolonged history and status of the patient explorative laparotomy with splenectomy was done to stabilise the patient. Post operatively patient was shifted to HDU in view of hemodynamic monitoring. In view of improving condition, he was shifted to ward. His vitals were monitored throughout the hospital stay. Numerous lab test was done to assess the patient. Patient was discharged in hemodynamically stable state. Conclusion: Patient was treated successfully with exploratory laparotomy and splenectomy which was lifesaving procedure.