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Web of Proceedings - Francis Academic Press

Some Thinking in Diagnosing the Wandering Spleen: a Case Report

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DOI: 10.25236/icbcme.2021.015


Zhenyu Yang, Zhe Song, Ming Hou

Corresponding Author

Ming Hou


Wandering spleen refers to the spleen moving away from its normal anatomical position and shifting to other parts of the abdominal or the pelvic cavity. The number of females suffered from the wandering spleen is 3-13 times more than that of males, especially middle-aged reproductive females. Spleen is an important lymphoid organ, located at the upper left of abdominal cavity. It is oblate oval, dark red, soft and brittle. When it is hit by violence, it is easy to rupture and bleed. The spleen is located between the stomach fundus and diaphragm in the left costal region, which is just opposite to the 9th-11th rib, and its long axis is consistent with the 10th rib. Its anatomical position is held by a suspensory structure which called the splenic suspensory ligament. The wandering spleen can be seen as a round-shaped and obvious mass on the computed tomography scan image. Owing to is rarity and various features in clinical classification, it’s a treatment and diagnostic challenge to most emergency surgery doctors. We present a case of a 46-year-old female who had the chief complaint of the epigastric pain and nausea. Computed Tomography showed a wandering spleen in pelvic cavity with the splenic cord torsion. A complete spleen removal was performed successfully. We presented a wandering spleen patient and our objective is to provide some thinking in diagnosing the wandering spleen.


Wandering spleen, Case report, Spleen volvulus, Splenectomy, Emergency diagnosis, Computed tomography