Wandering spleen with partial torsion

Case contributed by Laurent Bilodeau
Diagnosis certain


Abdominal mass in a patient with a low hemoglobin count.

Patient Data

Age: 95 years
Gender: Female

Massive splenomegaly.

Mesenteroaxial volvulus of the stomach involving the tail of the pancreas.

Left sided pleural effusion.

Case Discussion

This patient was later found to have a lymphoproliferative disorder with hypersplenism, which caused her massively enlarged spleen to rotate on its vascular pedicle and wander in her abdomen, causing the abdominal mass.

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