Wandering spleen: as a differential diagnosis in pelvic massesSunil Motiram Lanjewar, Dhiraj Sagrule, Vishal Nandagawali, Pratik Lawankar, Kuntal Surana, Praful Khuje, Sagar Bhalerao, Abhinav Debanath, Sarvagya Mishra.
Wandering spleen is rare, particularly in children, and diagnosis is difficult. It usually occurs at 20 to 40 years of age, and most cases are seen in women. Diagnosis is difficult because of lack of symptoms, unless splenic torsion has occurred. Patients usually have an asymptomatic abdominal mass, an acute abdomen, or, most commonly, a mass associated with pain. Rarely may it present as hypersplenism. Treatment is operative because of complications associated with the condition. Splenopexy or splenectomy can be done. We report a rare case of wandering spleen in an old age women who was treated by splenectomy because of associated hypersplenism.
Wandering spleen, Hypersplenism, Pelvic mass