Giant Wandering Spleen with torsion of the pedicle and splenic infarction: A case report

Abstract

Background: The wandering spleen is an uncommon clinical entity. Its clinical spectrum varies from asymptomatic disease to associated complications and its management is predominantly by surgery.

Clinical case: Man with clinical picture of pain and palpable abdominal mass, with tomographic findings suggestive of pathology with retroperitoneal seating, with secondary intestinal obstruction; by laparotomy incidentally, an ectopic spleen is identified, only fixed through a torsioned vascular pedicle and signs of portal hypertension, performing splenectomy.

Conclusions: Splenic torsion is the most frequent complication of the errant spleen, a very rare entity with very few cases published in Colombia.