Wandering spleen presenting as an adnexal mass

Area of Science:

• Reproductive Medicine
• Surgical Case Reports
• Abdominal Imaging

Background:

• Wandering spleen is a rare congenital anomaly due to abnormal embryonic development of the splenogonadal fusion.
• It is characterized by the spleen's abnormal mobility, increasing the risk of torsion, infarction, or rupture.
• Diagnosis often relies on imaging, but it can be challenging due to its rarity and varied presentations.

Observation:

• The case involved a patient presenting with a left adnexal mass.
• Initial diagnostic workup suggested a gynecological origin for the mass.
• Further investigation revealed the mass to be a wandering spleen.

Findings:

• The fifth reported case of wandering spleen presenting as a left adnexal mass.
• This presentation highlights the atypical clinical manifestations of wandering spleen.
• Imaging modalities were crucial in differentiating the spleen from other pelvic structures.

Implications:

• This case underscores the importance of considering rare diagnoses in the differential for adnexal masses.
• Awareness of such presentations can improve diagnostic accuracy and timely management of wandering spleen.
• It highlights the need for comprehensive imaging evaluation in cases with ambiguous findings.