Wandering spleen with volvulus and infarction

Case contributed by Nguyen, Hoang Nhat Khanh
Diagnosis certain

Presentation

Left abdominal mass with severe pain of acute onset after physical activities.

Patient Data

Age: 20 years
Gender: Male

Enlarged and hypodense spleen (craniocaudal dimension 15 cm) located in the left lower abdomen and pelvis with no enhancement after intravenous contrast injection. The splenic vessels appear twisted showing a whirlpool sign.

A splenunculus located at the front side of the pancreas tail, with partial enhancement after IV contrast injection.

Case Discussion

A case of a wandering spleen presenting with splenic infarction as severe abdominal pain after physical activity.

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