Acute abdomen due to torsion of wandering spleen: CT diagnosis

• DOI: 10.1007/s003300050562
• Publication Date: 2002-08-25T08:19:44Z
• Authors: M. Raissaki; P. Prassopoulos; M. Daskalogiannaki; E. Magkanas; N. Gourtsoyiannis
• Keywords: Abdomen, Acute; Adult; Male; Torsion Abnormality; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Splenectomy; Humans; Female; Child; Tomography, X-Ray Computed; Spleen; Splenic Diseases; Ultrasonography

Two adults and a child with acute abdomen and surgically confirmed torsion of wandering spleen are presented. Computed tomography provided a spectrum of findings including an ovoid or comma-shaped abdominal mass, hypertrophy of the liver's left lobe, a whirled appearance of hyperdense, nonenhancing splenic vessels, and an enlarged spleen, exhibiting minimal or no enhancement. Computed tomography also indicated the point of torsion and the viability of splenic parenchyma.