Abstract
Wandering or ectopic spleen is a rare congenital or acquired abnormality due to a defect in the anatomical fixity of the spleen with the surrounding organs. Pedicle twisting is its most common complication. It is an anatomo-clinical entity most often described in children, but rare in adults. It is a serious condition, especially when it occurs on a pregnancy putting at stake maternal and fetal prognosis. Authors report a case of acute volvulus of wandering spleen in a 26-year-old patient admitted for abdominal pain on an active pregnancy of 15 weeks of amenorrhea. Abdominal ultrasound scan helped to set the diagnosis. At laparotomy, the enlarged spleen was in an ectopic position, in the iliac fossa with a pedicle abnormally twisted in several spiral turns. Splenectomy was performed. The post-operative period was simple and the pregnancy progressed well to term.
Highlights
Pedicle twisting is its most common complication. It is an anatomo-clinical entity most often described in children, but rare in adults. It is a serious condition, especially when it occurs on a pregnancy putting at stake maternal and fetal prognosis
Authors report a case of acute volvulus of wandering spleen in a 26-year-old patient admitted for abdominal pain on an active pregnancy of 15 weeks of amenorrhea
Wandering or ectopic spleen is a congenital or acquired abnormality due to lack in the anatomical fixity of the spleen with the surrounding organs, which means that the spleen can be found in any quadrant of the abdomen
Summary
Wandering or ectopic spleen is a congenital or acquired abnormality due to lack in the anatomical fixity of the spleen with the surrounding organs, which means that the spleen can be found in any quadrant of the abdomen. The most dreadful complication of this anomaly, is twisting of the spleen around its vascular axis in one or more spiral turns. It can occur on a pregnancy [5]. We report a case of acute volvulus of wandering spleen on pregnancy insisting on the emergency of the diagnosis and specific treatment
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
