Wandering spleen

Case contributed by Dr Kenny Sim

Presentation

Abdominal pain and fever.

Patient Data

Age: 81
Gender: Male
CT

Wandering spleen noted. This lies centrally near the pelvic inlet and displaces the bladder to the right. There is normal enhancement, with no evidence of acute splenic infarction although peripheral coarse calcifications may reflect previous events.

Multiple gall stones. Sigmoid and descending colonic diverticula.

Bilateral inguinal hernias, that on the right containing a small portion of bladder.

Case Discussion

Wandering spleen results from abnormality of the suspensory ligaments of the spleen, namely the gastrosplenic and lienorenal ligaments. There may either be a congenital absence or underdevelopment of these ligaments, or an acquired laxity. The resultant elongated splenic pedicle predisposes to splenic torsion and infarct.

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Case information

rID: 33353
Published: 13th Jan 2015
Last edited: 16th Jul 2018
Tag: spleen
Inclusion in quiz mode: Included

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