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Wandering spleen as an asymptomatic pelvic mass
Chantell Dalpe1, Mary Cunningham
1Department of Obstetrics and Gynecology, State University of New York Upstate Medical University, Syracuse, New York 13210, USA. dalpec@upstate.edu
Background:
Wandering spleen is caused by laxity of the ligaments surrounding the spleen and may present as an asymptomatic pelvic mass.
Case:
A 20-year-old woman with a neurogenic bladder was diagnosed with a pelvic mass on a routine screening ultrasound. The mass was described as solid and multilobulated, with the lobules measuring up to 5 cm in diameter. She was completely asymptomatic. Exploratory laparotomy revealed a wandering spleen.
Conclusion:
Wandering spleen, though unusual, should be included on the differential diagnosis of patients with an asymptomatic solid pelvic mass.