PMC7653206_01
Ultrasound and Doppler showing a large vascularized pelvic mass.
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These findings raised concerns of an ovarian tumor (Fig. 1).
Abdominal Axial T1 and T2 sequences showing an empty LUQ and the splenic pedicle (Blue Arrow).
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Gadolinium-enhanced MRI revealed an empty splenic compartment (Fig. 2), and the spleen was found in an unusual position: in the pelvic cavity (Fig. 3) pushing the uterus to the left side (Fig. 4) and in contact with the bladder (Fig. 5). The radiologist also noted torsion of the splenic pedicle, without any evidence of splenic ischemia or infarction (Fig. 2).
Axial T2, STIR and diffusion sequences showing the pelvic spleen pushing the uterus to the left side.
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Gadolinium-enhanced MRI revealed an empty splenic compartment (Fig. 2), and the spleen was found in an unusual position: in the pelvic cavity (Fig. 3) pushing the uterus to the left side (Fig. 4) and in contact with the bladder (Fig. 5).
Coronal T2 and STIR sequences of MRI showing the pelvic spleen with the downward attracted pedicle and pancreatic tail (Blue Arrow).
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The tail of the pancreas was also stretched downward by the splenic pedicle (Fig. 6).