Torsion of a wandering spleen

Case contributed by Dr Aliakbar Sahraei


The patient is a 4 year old girl who brought to ED with acute abdominal pain.

Patient Data

Age: 4 years old
Gender: Female
  • absence of the spleen in the left upper quadrant
  • whirl sign: whirled appearance of hyperdense, nonenhancing splenic vessels
  • enlarged spleen, without enhancement

Case Discussion

Wandering spleen is a rare condition in which the spleen migrates from its usual anatomical position, commonly to the lower abdomen or pelvis. Wandering spleen is rare, with a reported incidence of <0.5%.

It can present as an asymptomatic or painful abdominal mass, intermittent abdominal pain, or as an acute abdomen due to torsion 1,2.

PlayAdd to Share

Case information

rID: 45716
Published: 5th Jun 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.