Abstract
A 15-year-old girl presented with 7 days of intermittent lower abdominal pain. Contrast-enhanced CT demonstrated an enlarged “wandering” spleen (asterisk) within the pelvis (Fig. 1). The splenic vascular pedicle was elongated and whorled, suggesting torsion (Fig. 2). Imaging findings were confirmed at laparoscopy, and splenic detorsion and splenopexy were performed. Excessive splenic mobility and resultant ectopia are caused by abnormal peritoneal fixation, with the splenogastric and splenorenal ligaments being either absent or lax [1, 2]. While splenic shadow absence may suggest the
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