Wandering spleen

Case contributed by Dr Ahmed Abd Rabou

Presentation

Pre operative check up. The patient is a donor for renal transplantation

Patient Data

Age: 45 years old
Gender: Female
CT

Plain film reveals depressed left diaphragmatic copula. CT images show the abnormal location of the spleen at the pelvic cavity above the urinary bladder, anterior and superior to the uterus with stretched splenic artery and vein

Case Discussion

Wandering spleen occurs due to defect in the formation of the lienorenal ligament, the most stabilizer of splenic position which allows for abnormal mobility of the spleen with long splenic vascular pedicle. Due to the position of the spleen and long pedicle it is more liable for trauma and torsion.

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Case information

rID: 26737
Case created: 5th Jan 2014
Last edited: 11th Mar 2016
Inclusion in quiz mode: Included

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