Splenic hypoperfusion due to torsion
Severe left upper and lower quadrant pain for several days. Attended 3 emergency departments with no diagnosis made.
Loading Stack -
0 images remaining
Portal phase CT images show a hypoperfused spleen, patent splenic artery and contrast in the splenic vein near its confluence with the portal vein but not in the part near the spleen. Delayed phase CT images reveal a patent splenic vein. Perisplenic minimal fluid is also noted.
Partial torsion of the spleen causes obstruction of the splenic vein and consequently hypoperfused spleen. The cause of splenic torsion appears to be related to issues with the attaching ligaments such as weakening or malformation. Usually, splenic torsion is seen in association with a wandering spleen (splenoptosis), however, in this case the spleen seems is in a normal location.