Abstract
INTRODUCTION: "Wandering spleen" a condition in which the spleen's suspensory ligaments are under developed or slack is characterized mainly by splenic hypermobility and loss of fixation. A variety of clinical presentations of this condition has been described; from an incidental finding in imaging surveys to acute, chronic, or intermittent symptoms due to splenic torsion. For these individuals, there are two possible treatment options: splenectomy or splenopexy. CASE PRESENTATION: Here we present a case of a 16 year old female patient presented with acute abdomen and underwent exploratory laparotomy and splenectomy for gangrenous volvulated wandering spleen. CLINICAL DISCUSSION: Splenic suspensory ligament abnormalities, frequently referred to as a "wandering" spleen, are the cause of predisposition. However, because the patient usually exhibits no symptoms until splenic torsion occurs, diagnosing of a "wandering" spleen is challenging. Diagnosis is mainly using imaging modalities; color doppler study or compute tomography scan which are done usually once the patient is symptomatic. CONCLUSION: High index of suspicion and early detection (along with other factors) might allow splenic preservation especially in children.