Work

Emergency radiological evaluation of wandering spleen volvulus and infarction: A case report and review of literature

Year: 2025

Type: article

Abstract: Wandering spleen (WS) is exceedingly rare and is attributed to the absence or maldevelopment of the spleen's anchoring ligaments. The diagnosis of WS in the emergency department poses a particular clinical challenge as the clinical presentation is highly variable from acute abdomen requiring immediate surgery to chronic indolent pain extending over years. Herein, we report the case of a 34-year-old nulliparous lady, who presented to the emergency department with left iliac fossa pain associated with vomiting, successfully diagnosed preoperatively using computerized tomography. A splenectomy was performed, and the patient achieved full recovery. Timely use of imaging aids emergency physicians in the early detection of wandering spleen. Early diagnosis allows spleen-preserving strategies and therefore prevents the life-threatening complications of postsplenectomy sepsis.

Source: Radiology Case Reports

DOI: 10.1016/j.radcr.2025.01.057

Authors: Muataz Kashbour, Maaly Abuhlaiga, Muhammed Asim Awan, Khalid Gashoot

Institutions: Misurata University, Alasmarya Islamic University, University of Tripoli, Tripoli Central Hospital

Language: English

Topic: Abdominal Trauma and Injuries

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $600