Abstract
Congenital deficiency or acquired laxity of the suspensory ligaments of the spleen may result in extreme splenic mobility. This rare condition, which is termed wandering or ectopic spleen predisposes the elongated splenic pedicle to torsion. We present a case of splenic torsion with a new CT finding consisting of a whorled appearance of the splenic pedicle. To our knowledge this finding has not been described before.
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Parker LA, Mittelstaedt CA, Mauro MA, Mandell VS, Jaques PF (1984) Torsion of a wandering spleen: CT appearance. J Comput Assist Tomogr 8: 1201–1204
Salomonowitz E, Frick MP, Lund G (1984) Radiologic diagnosis of wandering spleen complicated by splenic volvulus and infarction. Gastrointest Radiol 9: 57–59
Sheflin JR, Lee CM, Kretchmar KA (1984) Torsion of wandering spleen and distal pancreas. AJR 142: 100–101
Thompson JS, Ross RJ, Pizzaro ST (1980) The wandering spleen in infancy and childhood. Clin Pediatr 19: 221–224
Toback AC, Steece DM, Kaye MD (1984) Splenic torsion. An unusual cause of splenomegaly. Dig Dis Sci 29: 868–871
Gordon DH, Burrell MI, Levin Dc, Mueller CF, Becker JA (1977) Wandering spleen: the radiological and clinical spectrum. Radiology 125:p39–46
Herman TE, Siegel MJ (1991) CT of acute splenic torsion in children with wandering spleen. AJR 156: 151–153
Nemcek AA Jr, Miller FH, Fitzgerald SW (1991) Acute torsion of a wandering spleen: diagnosis by CT and duplex Doppler and color flow sonography. AJR 157: 307–309
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Swischuk, L.E., Williams, J.B. & John, S.D. Torsion of wandering spleen: The whorled appearance of the splenic pedicle on CT. Pediatr Radiol 23, 476–477 (1993). https://doi.org/10.1007/BF02012458
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DOI: https://doi.org/10.1007/BF02012458