A case of torsion of a wandering spleen in an 8 year old girl is reported. The authors discuss the aetiology and management of this rare condition and review the literature. Wandering spleen is relatively more common in children than in adults. Under the age of 10 the sex distribution is even; over 10, females outnumber males by seven to one. In 66 children under 10 years, 50% of wandering spleens were lost through acute ischaemia. The authors recommend that early splenopexy replace conservative management.