A 15-year-old girl presented with 7 days of intermittent lower abdominal pain. Contrast-enhanced CT demonstrated an enlarged “wandering” spleen (asterisk) within the pelvis (Fig. 1). The splenic vascular pedicle was elongated and whorled, suggesting torsion (Fig. 2). Imaging findings were confirmed at laparoscopy, and splenic detorsion and splenopexy were performed.