PMC3658214_01
Computed tomographic appearance of the torsioned wandering spleen.
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C-reactive protein (CRP) (80 mg/L). Combined abdominal sonography and contrast-enhanced abdominopelvic computed tomography (CT) demonstrated the absence of a spleen in its normal position, with a 15 x 7 cm solid mass extending from the stomach to the pelvis in the left abdomen that was consistent with WS, and no contrast enhancement within the splenic parenchyma (Figure 1).
Torsioned spleen in laparotomy.
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An urgent laparotomy revealed a significantly enlarged, infarcted WS secondary to splenic torsion of 540  (Figures 2 and 3).
Pelvic location of the spleen in computed tomography.
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Contrast-enhanced abdominopelvic CT scan revealed an enlarged WS extending from the greater curvature to the urinary bladder, and a 3 x 2 cm mass consistent with an accessory spleen (Figure 3).
PMC3658214_02
Pelvic location of the spleen in computed tomography.
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Contrast-enhanced abdominopelvic CT scan revealed an enlarged WS extending from the greater curvature to the urinary bladder, and a 3 x 2 cm mass consistent with an accessory spleen (Figure 3).