Torsion of Wandering Spleen Attached to the Omentum: A Rare Case Report from Iran

• Main Authors: Abaszadeh F, Taebi M, Nikzad Jamnani H
• Format: Article
• Language: English
• Published: Dove Medical Press 2020-06-01
• Series: International Journal of General Medicine
• Subjects: ectopic spleen; spleen torsion; splenectomy; case report
• Online Access: https://www.dovepress.com/torsion-of-wandering-spleen-attached-to-the-omentum-a-rare-case-report-peer-reviewed-article-IJGM

Farzad Abaszadeh,1 Mozhgan Taebi,2 Habiballah Nikzad Jamnani3 1Department of Operation Room Nurse, Faculty of Allied Medicine, Kerman University of Medical Sciences, Kerman, Iran; 2Department of Anesthesiology, Faculty of Allied Medicine, Kerman University of Medical Sciences, Kerman, Iran; 3Imam Khomeini Educational & Remedial Center, Jiroft University of Medical Sciences, Jiroft, IranCorrespondence: Farzad AbaszadehDepartment of Operation Room Nurse, Faculty of Allied Medicine, Kerman University of Medical Sciences, Kerman, IranTel [phone]Email [e-mail]: Wandering spleen is a rare condition with less than 0.2% prevalence, and it is the cause of 0.25% of total splenectomies. This condition happens as a result of the lack or looseness of the spleen suspensory ligaments, and it may manifest as an acute abdomen due to the spleen becoming twisted around its vascular base.Case Presentation: This study reports the case of a wandering spleen attached to the omentum (with blood supply from the omentum) in the pelvic area, with ectopic appendix (located in the right upper quadrant), ectopic liver (located in the abdominal midline), and ectopic stomach (located in the right upper abdominal region), in a 15-year-old male complaining about abdominal pain, nausea, vomiting, and lack of appetite, who was referred to the hospital. The patient underwent laparotomy with the diagnosis of acute abdomen; the twisted ectopic spleen in the pelvis was removed and appendectomy was also performed. The clinical manifestations of wandering spleen vary extensively, and its presurgical diagnosis is difficult in the absence of radiological studies. Therefore, spleen torsion has to be considered as a diagnosis for acute abdomen in order to prevent necrosis of the spleen and other related complications.Conclusion: Wandering spleen should be borne in mind for patients presenting with a palpable intra-abdominal mass causing acute or intermittent abdominal symptoms.Keywords: ectopic spleen, spleen torsion, splenectomy, case report