Wandering spleen with torsion in pelvic: A case report and literature review

Abstract

Wandering spleen, caused by elongation or maldevelopment of the splenic ligaments, is a rare developmental disorder with a prevalence of 0.2 %. It occurs primarily in children under one year or adult women of reproductive age. Clinical manifestations are highly variable, ranging from asymptomatic cases to acute abdominal symptoms such as persistent abdominal pain and vomiting, often due to splenic torsion. Because clinical symptoms are nonspecific, diagnostic imaging is crucial, with computed tomography key to confirming the diagnosis. Conventional treatment involves spleen fixation unless there is splenic infarction, in which case splenectomy should be considered.

We report the case of a 13-year-old female patient who was admitted to the hospital with acute abdominal pain, accompanied by vomiting and fever, without signs of shock. Ultrasound and computed tomography revealed splenic torsion, which was confirmed during laparoscopic surgery, and the patient subsequently underwent splenectomy. One week after surgery, the patient was discharged from the hospital in stable condition.