Two cases of splenic infarction due to torsion of wandering spleen requiring laparoscopic splenectomy in adolescent girls

Abstract

The spleen is an intraperitoneal organ, and located in the left upper quadrant, fixed with the gastrosplenic, splenocolic, and splenorenal ligaments. Wandering spleen (also known as ectopic spleen) is a condition in which the spleen is not found in its usual location or presentation. The entity is caused by absence or laxity of the ligaments fixing the spleen. Due to this laxity, splenic vascular pedicle can be twisted easily, incurring splenic torsion. Splenic torsion leads to infarction, requiring prompt diagnosis and treatment. In this report, we present 2 cases of splenic infarction due to torsion of wandering spleen, which was successfully treated with laparoscopic splenectomy. This study was approved by the Institutional Review Board (IRB no. 05-2019-157).