PMC9083538_01
Surgical view of the wandering splenomegaly caused by splenic torsion. The spleen is only supplied by the left gastro-omental vessels of the greater omentum connected to the inferior polar artery and vein (arrow). Observe the absence of perisplenic ligaments and the lack of the main splenic artery and vein as well as of the superior polar and splenogastric vessels. Note the splenic congestion and the highly dilated inferior polar and left gastroepiploic veins due to the previous splenic torsion.
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No other vessels were found in the splenic hilum (Figure 1).
The same spleen shown in Figure 1 shortly after splenic detorsion. Observe that congestive splenomegaly has diminished and vein calibers have returned to normal dimensions (arrows).
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After detorsion of the spleen, the venous calibers reduced to normal, the dimensions of the spleen reduced, and the signs of congestion disappeared (Figure 2).