1 Lax or absent splenic ligaments are the splenorenal ligament, the gastrosplenic ligament and the phrenicocolic ligament. Key words: wandering spleen, acute abdomen, torsion of spleen, splenopexy, splenectomy introduction Wandering spleen is a rare condition due to an abnormality of fixation of splenic ligaments that are absent or very lax and an elongated vascular axis that produces a displacement of the spleen from its normal position in the left upper quadrant. This can result in delayed treatment and would involve performing a splenectomy due to the presence of splenic necrosis or infarction, increasing the risk of postsplenectomy sepsis. Conclusion: Acute torsion of wandering spleen is a rare cause of acute abdomen, making early diagnosis difficult. Diagnostic imaging including ultrasonography and computed tomography revealed a huge spleen in an abnormal location and with absence of vascularization.

Clinical case: We present the case of a 30-year-old female who arrived at the Emergency Department with acute abdominal pain. The most common complication is acute torsion of the splenic pedicle causing acute abdominal pain. Clinical presentation is variable, from an asymptomatic patient to another patient with chronic abdominal pain or acute abdomen. * Servicio de Cirugía General y del Aparato Digestivo, ** Servicio de Anatomía Patológica, Complejo Hospitalario de Cáceres, Cáceres, Spain Correspondence: Beatriz de Andrés Asenjo C/ Ribera del Carrión 1, 3✫ 47008 Valladolid, Spain Tel: 0034 627378590 E-mail: Received for publication: 3-23-2011 Accepted for publication: 7-27-2011 Cir Cir 2012 80:262-265 Acute torsion of wandering spleen: a rare cause of acute abdomen Beatriz de Andrés-Asenjo* and Nuria Fernández-González** abstract Background: Wandering spleen is a rare clinical entity characterized by an anomalous position of the spleen in the abdomen due to impaired splenic ligamentous attachments that produce an elongation of the vascular pedicle, favoring a possible volvulus of partial or complete vascular axis.

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