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Wandering Spleen: A Rare Diagnosis with Variable Presentation
Radiology Case Reports
|June 16, 2016
Summary
Wandering spleen, a rare condition where the spleen moves from its normal position, can cause varied symptoms from constipation to acute abdominal pain. Diagnosis relies on imaging, highlighting the importance of recognizing this rare splenic anomaly.
Area of Science:
- Medicine
- Radiology
- Pediatrics
Background:
- Wandering spleen is a rare congenital anomaly characterized by abnormal splenic positioning due to lax peritoneal and ligamentous attachments.
- This condition can lead to varied clinical presentations, ranging from asymptomatic cases to surgical emergencies like splenic torsion.
Observation:
- Two cases are presented: a 47-year-old woman with constipation and a 3-year-old girl with acute abdominal pain.
- Both patients exhibited symptoms attributable to the spleen's ectopic location.
Findings:
- Wandering spleen results from laxity in the lienorenal and gastrosplenic ligaments, allowing splenic migration within the abdomen or pelvis.
- Clinical manifestations are highly variable, often mimicking other acute abdominal conditions.
Implications:
- Prompt diagnosis of wandering spleen is crucial to prevent complications such as splenic infarction or torsion.
- Various imaging modalities are essential for accurate diagnosis and management planning of this rare splenic disorder.
Keywords:
CT, computed tomography
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