Infarcted wandering spleen

Case contributed by Dr Salman Albakheet

Presentation

Abdominal mass progressive in size with severe pain of acute onset.

Patient Data

Age: 30
Gender: Female
Modality: Ultrasound

The spleen is seen in abnormal mid abdomen position. It is enlarged and of diffuse hypo echoic texture.

Modality: CT

A large completely non-enhancing spleen in the lower abdomen and pelvis with twisting of the splenic artery and vein within the mid abdomen consistent with an enlarged, ectopic and completely infarcted spleen.

Case Discussion

The spleen can ‘wander’ due to excessive mobility associated with ligamentous laxity of its peritoneal attachments. There are multiple causes of this ligamentous laxity including congenital and acquired etiologies. In the congenital form, there is failure of development of the normal splenic suspensory ligaments including the lienorenal and gastrosplenic ligaments. The acquired form can occur in conditions that weaken the ligaments including pregnancy with elevated estrogen levels and after trauma.

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Case Information

rID: 33209
Case created: 4th Jan 2015
Last edited: 28th Sep 2015
Inclusion in quiz mode: Included

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