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Wandering spleen.

Faisal M Al-Mashat1, Abdulrahman M Sibiany, Abdulraouf A Maimani

  • 1Department of Surgery, King Abdul-Aziz University Hospital, College of Medicine, King Abdul-Aziz University, Jeddah, Kingdom of Saudi Arabia. falmashat@yahoo.com

Saudi Medical Journal
|February 6, 2004
PubMed
Summary

Congenital spleen malformations are rare. This study details three cases of wandering spleen, a condition presenting as abdominal masses, highlighting diagnostic and surgical management.

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Area of Science:

  • Medical Imaging
  • Surgical Pathology
  • Congenital Malformations

Background:

  • Congenital malformations of the spleen are uncommon.
  • Wandering spleen is a rare anomaly where the spleen is not fixed in its normal anatomical position.

Observation:

  • Three cases of wandering spleen presented as abdominal or pelvic masses.
  • Two patients experienced chronic lower abdominal pain due to a thrombosed splenic pedicle.
  • One patient presented with acute abdomen.

Findings:

  • Diagnostic modalities included abdominal ultrasound, computerized tomography, Doppler ultrasound, and radioisotope studies.
  • All three patients required splenectomy for management.
  • The cases illustrate diverse clinical presentations of wandering spleen.

Implications:

  • This report emphasizes the importance of considering wandering spleen in the differential diagnosis of abdominal masses and pain.
  • Effective diagnosis relies on a combination of imaging techniques.
  • Splenectomy remains a primary treatment for symptomatic wandering spleen.

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