Negasi Musie, Kassie Birhanu, Solomon Awash, Abraha Million, Kahsay Hailemariam, Gidey Akililu
Department of Obstetrics and Gynecology, Aksum University College of Health Science, Aksum, Ethiopia.
Department of Pathology, Aksum University College of Health Science, Aksum, Ethiopia.
Radiol Case Rep. 2025 May 15;20(8):3765-3769. doi: 10.1016/j.radcr.2025.04.097. eCollection 2025 Aug.
A wandering spleen is a rare clinical condition characterized by abnormal spleen mobility to the abdominal or pelvic cavity from its normal position in the left hypochondrium. Currently the gold standard of management is the surgical option with splenopexy. A conservative approach is another option for management, even though it is not preferable, as most cases eventually complicate. We presented a 26-year-old female patient who had an on-and-off-type abdominal pain of 2 years duration with an 18-week-sized palpable lower abdominal mass. Abdominopelvic ultrasound and CT scan confirmed pelvic wandering spleen. She declined the surgical option and opted for conservative management. Pelvic location with enlargement of the spleen may clinically mimic a uterine mass. There is potential for successful conservative management of pelvic wandering spleen, especially in the absence of acute complications.
游走脾是一种罕见的临床病症，其特征是脾脏从左季肋区的正常位置向腹腔或盆腔异常移动。目前，治疗的金标准是采用脾固定术的手术方案。保守治疗是另一种治疗选择，尽管不太可取，因为大多数病例最终会出现并发症。我们报告了一名26岁女性患者，她有持续2年的间歇性腹痛，下腹部可触及一个18周大小的肿块。腹部盆腔超声和CT扫描证实为盆腔游走脾。她拒绝了手术方案，选择了保守治疗。脾脏增大并位于盆腔在临床上可能会被误诊为子宫肿块。盆腔游走脾有可能成功进行保守治疗，尤其是在没有急性并发症的情况下。
