Wandering Spleen

Wandering spleen is abnormal splenic mobility caused by lax or absent splenic suspensory ligaments, allowing the spleen to migrate (often to lower abdomen/pelvis). Risk is splenic torsion and splenic necrosis; more common in multiparous women. Clinical: migratory abdominal mass, pain; torsion causes acute abdominal pain.

Common Symptoms

Migratory abdominal mass; abdominal pain; left-upper-quadrant discomfort; acute pain if torsion

Causes and Pathogenesis

Congenital or acquired laxity of splenic suspensory ligaments (gastrosplenic, lienorenal) allows splenic hypermobility; torsion may compromise blood supply.

Treatment

Splenopexy; splenectomy if torsion/infarction

Preventive Measures

Early diagnosis; elective surgery to prevent torsion.

Department to Visit

It is recommended to visit the General Surgery department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.