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Wandering spleen is defined as the spleen that is not in its normal anatomic position due to the absence or laxity of suspensory ligaments. Congenital and acquired factors play a role in its etiology. It is a rare condition and may cause life-threatening complications as torsion or infarction. Rarely, patients may present to the emergency department with an acute abdomen. They may also present with chronic abdominal pain or intraabdominal mass. Given that its clinical diagnosis is difficult to make, radiological studies have an important role for an accurate diagnosis. In this paper, we presented a 24-year-old patient with torsion of a wandering spleen who presented with an acute abdomen and underwent laparoscopic splenectomy under urgent conditions.

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Due to the limited applicability of PAIR, we think that surgery is the most effective treatment at every stage, especially in endemic regions, depending on patient-related factors. MethodPatients with hydatid cyst of the liver treated with PAIR and surgery in our center between January 2016 and January 2022 were analyzed retrospectively. PAIR or cystectomy were applied in treatment. It was compared in terms of e cacy, feasibility, and complications. ResultsA single hydatid cyst of the liver was detected in 184 of the 225 cases, two cysts in 34, and three or more cysts in eight. While the largest cyst diameter was 233*124 mm in those who underwent surgery, it was 100*90 mm in PAIR. One hundred thirty-three of the 225 patients underwent open surgery, and no recurrence was encountered. However, recurrence was observed 19 patients treated with PAIR. Allergic reaction developed in one case during surgery, postoperative abscess in two cases, biliary stula in ve and pneumonia in one. ConclusionSurgical treatment should represent the standard procedure since it is safe and effective and ensures complete elimination of the parasite, involves no intraoperative shedding, preserves healthy tissues, and minimizes the risk of long-term recurrence and cavity-related complications.