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Introduction:The wandering spleen is a very rare cause of acute abdominal pain, occurring mostly in children and females of reproductive age. It is characterized by weakness or absence of one or more of the ligaments that hold the spleen in its normal location at the left upper quadrent of the abdomen. Herein, we present a rare case of wandering spleen in a patient with intestinal malrotation and history of an unknown abdominal surgery in the left upper quadrant. Case Presentation:A 37-year-old female patient, presented to our Emergency Medicine department with acute abdominal pain. She was diagnosed with a wandering spleen and intestinal malrotation. Prompt laparotomy was performed, and the patient underwent splenectomy, appendectomy and intestinal fixation.

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