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Wandering Spleen
A. Carlson Merrow, Jr., MD, FAAP
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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

                                  1. 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
                                  2. Parada Blázquez MJ et al: Torsion of wandering spleen: radiological findings. Emerg Radiol. 27(5):555-60, 2020
                                  3. Cohen O et al: Emergencies in the treatment of wandering spleen. Isr Med Assoc J. 20(6):354-7, 2018
                                  4. Reisner DC et al: Wandering spleen: an overview. Curr Probl Diagn Radiol. 47(1):68-70, 2018
                                  5. 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
                                  6. Viana C et al: Splenic torsion, a challenging diagnosis: case report and review of literature. Int J Surg Case Rep. 44:212-6, 2018
                                  7. 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
                                  8. Lubner MG et al: Emergent and nonemergent nonbowel torsion: spectrum of imaging and clinical findings. Radiographics. 33(1):155-73, 2013
                                  9. Priyadarshi RN et al: Torsion in wandering spleen: CT demonstration of whirl sign. Abdom Imaging. 38(4):835-8, 2013
                                  10. Chen JW et al: Sonographic diagnosis of a subclinical wandering spleen: role of the decubitus position. J Ultrasound Med. 31(3):483-7, 2012
                                  11. Fiquet-Francois C et al: Wandering spleen in children: multicenter retrospective study. J Pediatr Surg. 45(7):1519-24, 2010
                                  12. 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
                                  13. Sanchez R et al: Wandering spleen causing gastric outlet obstruction and pancreatitis. Pediatr Radiol. 40 Suppl 1:S89-91, 2010
                                  14. Ben Ely A et al: Familial wandering spleen: a first instance. J Pediatr Surg. 43(5):E23-5, 2008
                                  15. Liu HT et al: Wandering spleen: an unusual association with gastric volvulus. AJR Am J Roentgenol. 188(4):W328-30, 2007
                                  16. 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

                                                                  1. 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
                                                                  2. Parada Blázquez MJ et al: Torsion of wandering spleen: radiological findings. Emerg Radiol. 27(5):555-60, 2020
                                                                  3. Cohen O et al: Emergencies in the treatment of wandering spleen. Isr Med Assoc J. 20(6):354-7, 2018
                                                                  4. Reisner DC et al: Wandering spleen: an overview. Curr Probl Diagn Radiol. 47(1):68-70, 2018
                                                                  5. 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
                                                                  6. Viana C et al: Splenic torsion, a challenging diagnosis: case report and review of literature. Int J Surg Case Rep. 44:212-6, 2018
                                                                  7. 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
                                                                  8. Lubner MG et al: Emergent and nonemergent nonbowel torsion: spectrum of imaging and clinical findings. Radiographics. 33(1):155-73, 2013
                                                                  9. Priyadarshi RN et al: Torsion in wandering spleen: CT demonstration of whirl sign. Abdom Imaging. 38(4):835-8, 2013
                                                                  10. Chen JW et al: Sonographic diagnosis of a subclinical wandering spleen: role of the decubitus position. J Ultrasound Med. 31(3):483-7, 2012
                                                                  11. Fiquet-Francois C et al: Wandering spleen in children: multicenter retrospective study. J Pediatr Surg. 45(7):1519-24, 2010
                                                                  12. 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
                                                                  13. Sanchez R et al: Wandering spleen causing gastric outlet obstruction and pancreatitis. Pediatr Radiol. 40 Suppl 1:S89-91, 2010
                                                                  14. Ben Ely A et al: Familial wandering spleen: a first instance. J Pediatr Surg. 43(5):E23-5, 2008
                                                                  15. Liu HT et al: Wandering spleen: an unusual association with gastric volvulus. AJR Am J Roentgenol. 188(4):W328-30, 2007
                                                                  16. Ben Ely A et al: The wandering spleen: CT findings and possible pitfalls in diagnosis. Clin Radiol. 61(11):954-8, 2006