ArticleInternational journal of surgery case reports2025
A painful twist: Wandering spleen with torsion and infarction: A case report.
Article in International journal of surgery case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Laparoscopic Splenectomy for a Completely Infarcted Wandering Spleen After Prolonged Positional Abdominal Pain: A Case Report and Focused Literature Review.Clinical case reports · 2026Article
- The diagnostic challenge of wandering spleen with torsion: a rare cause of acute abdomen in children - a case report.International journal of surgery case reports · 2026Article
- Twisting in the abdomen and pelvis: a review of organ torsions.Abdominal radiology (New York) · 2026Review
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionWandering spleen is a rare condition characterized by abnormal spleen mobility due to defects in its supporting ligaments. Delayed management can lead to severe complications such as torsion and infarction, making early diagnosis and surgical intervention crucial for preventing adverse outcomes. CASE PRESENTATION: A 16-year-old girl presented with recurrent episodes of severe left hypochondrial pain, which worsened over six months, accompanied by occasional vomiting. Physical examination revealed a tender, palpable spleen extending from the left hypochondrium to the left iliac fossa. Imaging studies, including abdominal ultrasound and contrast-enhanced CT scan, revealed an enlarged spleen with signs of pedicle torsion and infarction, confirming a diagnosis of wandering spleen with vascular compromise. An emergency splenectomy was performed, revealing significant splenic enlargement with torsion and infarction, with no ligamentous attachments. The patient recovered uneventfully and received a pneumococcal vaccine along with long-term antibiotic prophylaxis prior to discharge. DISCUSSION: Wandering spleen often presents with nonspecific symptoms, leading to misdiagnosis or delayed treatment. Diagnostic imaging is essential for accurate identification. Management typically involves surgery, with splenopexy preferred when feasible and splenectomy reserved for cases with complications.
conclusionWandering spleen, though rare, requires prompt recognition and management to prevent complications like torsion and infarction.
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