The American Journal of Digestive Diseases

, Volume 20, Issue 3, pp 274–279 | Cite as

Torsion of the wandering spleen

  • Jan J. Smulewicz
  • Arthur R. Clemett
Original Articles

Abstract

We report 2 cases of torsion of the wandering spleen that illustrate the roentgenologic features of this unusual condition. These are an abdominal mass, usually in the left flank or pelvis; absence of the splenic shadow beneath the left diaphragm; extrinsic compression of the colon at the level of the phrenicocolic ligament by the elongated splenic pedicle; and evidence of splenic vein occlusion, as indicated by gastric varices in the absence of esophageal varices. A combination of these findings should permit diagnosis or lead to angiographic or isotopic studies to confirm the presence of a wandering spleen.

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References

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Copyright information

© Digestive Disease Systems, Inc. 1975

Authors and Affiliations

  • Jan J. Smulewicz
    • 1
    • 2
    • 3
    • 4
    • 5
  • Arthur R. Clemett
    • 1
    • 2
    • 3
    • 4
    • 5
  1. 1.Department of RadiologyQueens Hospital CenterJamaica
  2. 2.Long Island Jewish-Hillside Medical CenterJamaica
  3. 3.Department of Radiology, Health Sciences CenterState University of New York at Stony BrookStony Brook
  4. 4.Department of RadiologySt. Vincent's Hospital and Medical Center of New YorkNew York
  5. 5.Department of RadiologyNew York University School of MedicineNew York

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