Volvulus of a wandering enlarged pelvic spleen involving pancreatic tail: A case report

Abstract

Splenic volvulus of wandering spleen is a rare clinical condition. It causes significant morbidity and mortality, especially if undetected. Here, we report a case of 32-year-old female who presented with worsening abdominal pain for 1-week duration. Contrast-enhanced computed tomography scan of the abdomen showed splenic volvulus with infarction and involvement of the pancreatic tail. She underwent exploratory laparotomy and splenectomy with preservation of the pancreatic tail. Patient progressed favourably. Our case report describes a rare clinical entity of a splenic volvulus with a twisted pancreatic tail. This is a life-threatening condition that requires prompt diagnosis and treatment.

Splenetic Torsion on Ectopic Spleen: A Case Report

“…This torsion leads to an interrup�on of blood flow to the spleen, poten�ally resul�ng in �ssue necrosis and serious complica�ons if not promptly treated [3]. O�en, this condi�on is atributed to underlying anatomical factors, primarily a congenital malforma�on of the spleen's fixa�on system [4,5]. Elonga�on of the splenic pedicle is one of the main predisposing factors to splenic torsion [6].…”