[Volvulus of the wandering spleen]

The volvulus of the floating spleen is a rarity generally manifestated by an acute painful abdominal syndrome located into the left flank. The preoperative diagnosis can be eased off by an abdominal ecography which shows the spleens volume and its absence from the spleenlodge. Further on, we present the case of a female patient (28 years) who during hospitalization has developed a spleen volvulus being preoperative diagnosticated and terminated by splenectomy. Referring to Abell only in 4% of all cases you can diagnosticate this preoperatively. Recent studies also mention the conservative, laparoscopical treatment which means a laparoscopical detorsion and normal dyeing of the spleen followed by a splenopexy with a tent.