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Scholars Journal of Medical Case Reports | Volume-13 | Issue-04
Wandering Spleen Complicated by Splenic Volvulus: An Unusual Cause of Acute Abdomen
I. Zouidine, O. Tounsi, Y. Bouktib, A. El Hajjami, B. Boutakioute, M. Ouali Idrissi, N. Cherif Idrissi El Guennouni
Published: April 28, 2025 | 79 27
DOI: https://doi.org/10.36347/sjmcr.2025.v13i04.044
Pages: 758-760
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Abstract
Background: Wandering spleen is a rare condition caused by ligamentous laxity, predisposing to splenic volvulus, a life-threatening cause of acute abdomen. Diagnosis is challenging due to nonspecific symptoms, making CT imaging crucial. A 17-year-old female presented with acute left hypochondrial pain and bilious vomiting. Imaging revealed a torsion of the splenic pedicle with a splenic infarction. Emergency surgery confirmed the diagnosis of splenic volvulus, requiring splenectomy. Splenic volvulus is a rare surgical emergency. Early recognition via CT and prompt intervention are essential to prevent complications.