Splenic torsion in a patient with paraplegia: considerations for evaluation and management

Splenic torsion is a rare phenomenon characterised by a twisting of the spleen along its vascular pedicle, typically in the setting of lax suspensory ligaments. It is more commonly encountered in the paediatric population; however, it also has been documented in the adult population. Management is not well described due to its rarity. We illustrate a case of a paraplegic male in his 50s who presented with progressive abdominal pain and was found to have splenic torsion with suspected infarction on imaging. This was managed successfully with splenectomy.