Torsion of wandering spleen in an infant associated with hamartomatous vascular malformation

Abstract

Wandering spleen, also known as ectopic spleen, is a rather infrequent entity with an estimated incidence of 0.2%. It is characterized by hypermobility of the spleen, which is caused by the laxity or lack of the ligaments that normally hold the spleen in place in the left hypochondrium.The clinical presentation can take various forms; it can be asymptomatic and inadvertently discovered during radio imaging for a different purpose, or it can present as an abdominal emergency. The course of management is determined by the vitality of the spleen. In view of this, we present the case of a 45-day-old patient who presented to our centre with evidence of intestinal obstruction; however, she was actually suffering from splenic torsion, and a splenectomy was performed. Keywords: Wandering spleen, Splenic torsion, Splenic hamartoma, Gestational diabetes, Kasr El Ainy, Egypt