Torsion of wandering spleen as acute abdominal pain emergency: case report


  • Edgar A. Reyes Velázquez Department of General Surgery, Centro Médico Nacional del Noreste, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, México
  • Juan P. Silva Martínez Department of General Surgery, Centro Médico Nacional del Noreste, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, México



Wandering spleen, Ectopic spleen, Splenic torsion, Splenectomy, Case report


Anatomic variations of the normal position of the spleen in the left upper quadrant is an uncommon condition called wandering spleen or ectopic spleen. This condition has an incidence rate <0.2% and is most often diagnosed in children under one year of age or in women who are in their third decade of life, the most referred symptoms presented by patients are abdominal pain, either acute or intermittent, associated with a palpable mass in lower abdomen. There are two main causes, congenital or acquire, treatment is surgery being two main approaches splenectomy and splenopexy depending on clinical features, diagnosis is bases on images, gold standard computed tomography and ultrasound.


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Case Reports