Presentation
Abdominal mass in a patient with a low hemoglobin count.
Patient Data
Age: 95 years
Gender: Female
From the case:
Wandering spleen with partial torsion
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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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