PMC9262086_01
CECT scan coronal section showing non-enhancing a large spleen in the mid of abdomen.
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The CECT abdomen revealed a large homogenous mass of size 17.1x14.6x10.5 cm in the mid of the abdomen (Figure 1).
An axial section of the CECT scan showing a "whirl sign" of the splenic pedicle.
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It also showed the "whirl sign' of the twisting vascular pedicle of the spleen in the abdomen, which is pathognomonic for pedicle torsion (Figure 2).
Intraoperative image showing torsion of the prolonged splenic pedicle.
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On exploration, a grossly enlarged congested and ischemic spleen with a 720  twisted pedicle was found (Figure 3).
Microscopic image showing extensive hemorrhagic necrosis of splenic tissue.
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Splenectomy was done due to non-viability of the spleen and the specimen was sent for histopathological examination which confirmed the passive congestion and hemorrhagic necrosis of the splenic tissue (Figure 4).