CASE REPORT article
Front. Med.
Sec. Hepatobiliary Diseases
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1646831
Splenectomy for Wandering Spleen with Pedicle Torsion in a 17-Year-Old: A Case Report
Provisionally accepted
- Bethune International Peace Hospital, Shijiazhuang, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Background: Wandering spleen is a rare disorder characterized by splenic displacement into the abdominal or pelvic cavity, predisposing to torsion and infarction. Congenital factors (long pedicle, lax ligaments) or acquired conditions (splenomegaly) are the usual causes.Case Presentation: A 17-year-old female presented with five days of escalating abdominal pain.Imaging (contrast-enhanced CT and ultrasound) revealed a pelvic spleen with 360°pedicle torsion and partial infarction. After multidisciplinary review, emergency laparotomy was performed and splenectomy was undertaken. Post-operatively, low-molecular-weight heparin followed by aspirin was prescribed to mitigate post-splenectomy thrombocytosis-related thrombosis. The patient was discharged on day 18 without complications and remained well at follow-up.Early recognition, prompt splenectomy, and individualized anticoagulation guided by hematology input are essential to prevent complications in acute splenic torsion.
Keywords: Wandering Spleen, Abdominal Pain, Splenic pedicle torsion, Splenic Infarction, Splenectomy, Anticoagulant therapy
Received: 14 Jun 2025; Accepted: 07 Aug 2025.
Copyright: © 2025 Liu, Shen, Jiao, Zhang, Zhang, Meng and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Wei Liu, Bethune International Peace Hospital, Shijiazhuang, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.