Benbrahim Fatima Zahra, Essolaymany Zineb, Chaouche Ismail, Akammar A, Haloua Meryem, Alami Badreddine, Lamrani Moulay Youssef Alaoui, Boubbou Meryem, Maâroufi Mustapha, Bouardi Nizar El
Radiology Department, CHU Hassan II, Fez, Morocco.
Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Fez, Morocco.
Radiol Case Rep. 2025 Aug 9;20(11):5474-5477. doi: 10.1016/j.radcr.2025.05.050. eCollection 2025 Nov.
Wandering spleen is a rare condition characterized by the absence or underdevelopment of one or all of the ligaments that hold the spleen in its normal position in the left upper quadrant of the abdomen. It is an uncommon clinical entity that mainly affects children. Among adults, it most frequently affects women of reproductive age, in whom acquired laxity of the splenic ligaments is usually the cause. Patients with a wandering spleen may be asymptomatic, or may present with a movable mass in the abdomen. They can have chronic or intermittent abdominal pain because of partial torsion and spontaneous detorsion of the spleen. Given the nonspecific clinical symptoms and the potential complications associated with a wandering spleen, computed tomography provides crucial means for proper diagnosis. In this article, we report the case of a 17-year-old female patient presenting with a wandering spleen torsion and spleen vein thrombosis.
游走脾是一种罕见病症，其特征是固定脾脏于左上腹正常位置的一条或全部韧带缺失或发育不全。它是一种不常见的临床病症，主要影响儿童。在成年人中，最常影响育龄女性，通常是由于脾韧带后天松弛所致。游走脾患者可能无症状，或可能出现腹部可移动肿块。由于脾脏部分扭转和自行复位，患者可能会出现慢性或间歇性腹痛。鉴于游走脾相关的非特异性临床症状和潜在并发症，计算机断层扫描为正确诊断提供了关键手段。在本文中，我们报告了一名17岁女性患者出现游走脾扭转和脾静脉血栓形成的病例。
