↑ mobility of spleen due to abnormal ligamentous attachments (absence vs. ↑ laxity)
Long, vascular pedicle predisposes to acute or chronic intermittent torsion ± infarction
IMAGING
General Features
Radiographic Findings
CT Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
Cetinoglu YK et al: Torsion of wandering spleen: importance of splenic density and liver-to- spleen attenuation ratio on CT. Curr Med Imaging Rev. 16(1):88-93, 2020
Parada Blázquez MJ et al: Torsion of wandering spleen: radiological findings. Emerg Radiol. 27(5):555-60, 2020
Cohen O et al: Emergencies in the treatment of wandering spleen. Isr Med Assoc J. 20(6):354-7, 2018
Reisner DC et al: Wandering spleen: an overview. Curr Probl Diagn Radiol. 47(1):68-70, 2018
Varga I et al: Anatomic variations of the spleen: current state of terminology, classification, and embryological background. Surg Radiol Anat. 40(1):21-9, 2018
Viana C et al: Splenic torsion, a challenging diagnosis: case report and review of literature. Int J Surg Case Rep. 44:212-6, 2018
Lombardi R et al: Wandering spleen in children: a report of 3 cases and a brief literature review underlining the importance of diagnostic imaging. Pediatr Radiol. 44(3):279-88, 2014
Lubner MG et al: Emergent and nonemergent nonbowel torsion: spectrum of imaging and clinical findings. Radiographics. 33(1):155-73, 2013
Priyadarshi RN et al: Torsion in wandering spleen: CT demonstration of whirl sign. Abdom Imaging. 38(4):835-8, 2013
Chen JW et al: Sonographic diagnosis of a subclinical wandering spleen: role of the decubitus position. J Ultrasound Med. 31(3):483-7, 2012
Fiquet-Francois C et al: Wandering spleen in children: multicenter retrospective study. J Pediatr Surg. 45(7):1519-24, 2010
Montenovo MI et al: Laparoscopic splenopexy for wandering spleen: case report and review of the literature. Surg Laparosc Endosc Percutan Tech. 20(5):e182-4, 2010
Sanchez R et al: Wandering spleen causing gastric outlet obstruction and pancreatitis. Pediatr Radiol. 40 Suppl 1:S89-91, 2010
Ben Ely A et al: Familial wandering spleen: a first instance. J Pediatr Surg. 43(5):E23-5, 2008
Liu HT et al: Wandering spleen: an unusual association with gastric volvulus. AJR Am J Roentgenol. 188(4):W328-30, 2007
Ben Ely A et al: The wandering spleen: CT findings and possible pitfalls in diagnosis. Clin Radiol. 61(11):954-8, 2006
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Synonyms
Ectopic spleen, splenoptosis
Definitions
↑ mobility of spleen due to abnormal ligamentous attachments (absence vs. ↑ laxity)
Long, vascular pedicle predisposes to acute or chronic intermittent torsion ± infarction
IMAGING
General Features
Radiographic Findings
CT Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
Cetinoglu YK et al: Torsion of wandering spleen: importance of splenic density and liver-to- spleen attenuation ratio on CT. Curr Med Imaging Rev. 16(1):88-93, 2020
Parada Blázquez MJ et al: Torsion of wandering spleen: radiological findings. Emerg Radiol. 27(5):555-60, 2020
Cohen O et al: Emergencies in the treatment of wandering spleen. Isr Med Assoc J. 20(6):354-7, 2018
Reisner DC et al: Wandering spleen: an overview. Curr Probl Diagn Radiol. 47(1):68-70, 2018
Varga I et al: Anatomic variations of the spleen: current state of terminology, classification, and embryological background. Surg Radiol Anat. 40(1):21-9, 2018
Viana C et al: Splenic torsion, a challenging diagnosis: case report and review of literature. Int J Surg Case Rep. 44:212-6, 2018
Lombardi R et al: Wandering spleen in children: a report of 3 cases and a brief literature review underlining the importance of diagnostic imaging. Pediatr Radiol. 44(3):279-88, 2014
Lubner MG et al: Emergent and nonemergent nonbowel torsion: spectrum of imaging and clinical findings. Radiographics. 33(1):155-73, 2013
Priyadarshi RN et al: Torsion in wandering spleen: CT demonstration of whirl sign. Abdom Imaging. 38(4):835-8, 2013
Chen JW et al: Sonographic diagnosis of a subclinical wandering spleen: role of the decubitus position. J Ultrasound Med. 31(3):483-7, 2012
Fiquet-Francois C et al: Wandering spleen in children: multicenter retrospective study. J Pediatr Surg. 45(7):1519-24, 2010
Montenovo MI et al: Laparoscopic splenopexy for wandering spleen: case report and review of the literature. Surg Laparosc Endosc Percutan Tech. 20(5):e182-4, 2010
Sanchez R et al: Wandering spleen causing gastric outlet obstruction and pancreatitis. Pediatr Radiol. 40 Suppl 1:S89-91, 2010
Ben Ely A et al: Familial wandering spleen: a first instance. J Pediatr Surg. 43(5):E23-5, 2008
Liu HT et al: Wandering spleen: an unusual association with gastric volvulus. AJR Am J Roentgenol. 188(4):W328-30, 2007
Ben Ely A et al: The wandering spleen: CT findings and possible pitfalls in diagnosis. Clin Radiol. 61(11):954-8, 2006
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