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Erschienen in:
14.02.2022 | Images in Surgery
Unusual Presentation of Wandering Spleen Mimicking Pelvic Mass
Erschienen in: Indian Journal of Surgery | Ausgabe 1/2023
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A wandering spleen is an extremely rare clinical entity characterized by migration of the spleen from its normal position due to absence, malformation, or laxity of one or all of its ligaments. It can be congenital or acquired. When congenital, ligaments fail to develop properly, while acquired it is usually seen in women after having birth due to laxity of ligaments caused by hormonal changes. Here, we present a case of a 30-year-old male patient without known previous medical history who asked for medical help complaining of recurrent pelvic pain. A soft tissue mass was found in the pelvis on initially made ultrasound examination, and the patient was referred for abdominal magnetic resonance imaging (MRI) which identified a lobulated well-vascularized solid mass in close proximity to the left external iliac vessels, but without infiltrative characteristics. Moreover, abnormal splenic tissue in the left subphrenic space was present. Since the patient was symptomatic and an accurate preoperative diagnosis could not be made due to atypical findings, laparoscopic surgery was performed, and the diagnosis of wandering spleen was confirmed.