Wandering spleen with volvulus and infarction

Case contributed by Nguyen, Hoang Nhat Khanh
Diagnosis certain


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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