• J Emerg Med · Oct 2023

    IMAGING MANIFESTATIONS OF WANDERING SPLEEN WITH TORSION.

    • Tangna Wu, Shaopiao Chen, Lingling Qin, and Min Zhang.
    • Department of Ultrasonography, Hainan General Hospital/Hainan Affiliated Hospital of Hainan Medical University, Haikou, 570311, P. R. China.
    • J Emerg Med. 2023 Oct 1; 65 (4): e330e334e330-e334.

    BackgroundA wandering spleen (WS) is a rare clinical entity characterized by a spleen located in the lower part of the abdomen or the pelvic cavity rather than the normal anatomical site. The complications of a wandering spleen include splenic torsion, splenic infarction, and adjacent visceral injury.Case ReportWe present a case of a male patient admitted to the emergency department with vomiting, nausea, and persistent lower abdominal pain. Computed tomography and ultrasound were performed and were used to diagnose a wandering spleen with torsion leading to splenic infarctions. Subsequently, laparoscopic surgery and pathology confirmed this diagnosis. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Ultrasound and computed tomography scans play a significant role in diagnosing WS and its complications, allowing an emergency physician to establish treatment options for WS.Copyright © 2023 Elsevier Inc. All rights reserved.

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