Abstract
A 15-year-old girl presented to the emergency department with a 2-year history of recurrent abdominal pain. Physical examination revealed a large, soft mass with an impalpable lower pole located in the right lower abdomen that was accompanied by tenderness without rebound tenderness. No other obvious abnormalities were found. Computed tomography angiography (CTA) showed heterotopic splenomegaly with splenic vascular torsion and dilatation (Figure 1). Color Doppler flow imaging showed no obvious infarcted areas (Figure 2).
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