{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T14:04:49Z","timestamp":1780581889010,"version":"3.54.1"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T00:00:00Z","timestamp":1716595200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T00:00:00Z","timestamp":1716595200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Wandering spleen is a rare clinical entity in which the spleen is hypermobile and migrate from its normal left hypochondriac position to any other abdominal or pelvic position as a result of absent or abnormal laxity of the suspensory ligaments (Puranik in Gastroenterol Rep 5:241, 2015, Evangelos in Am J Case Rep. 21, 2020) which in turn is due to either congenital laxity or precipitated by trauma, pregnancy, or connective tissue disorder (Puranik in Gastroenterol Rep 5:241, 2015, Jawad in Cureus 15, 2023). It may be asymptomatic and accidentally discovered for imaging done for other reasons or cause symptoms as a result of torsion of its pedicle and infarction or compression on adjacent viscera on its new position. It needs to be surgically treated upon discovery either by splenopexy or splectomy based on whether the spleen is mobile or not.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We present a case of 39\u00a0years old female Ethiopian patient who presented to us complaining constant lower abdominal pain especially on the right side associated with swelling of one year which got worse over the preceding few months of her presentation to our facility. She is primiparous with delivery by C\/section and a known case of HIV infection on HAART. Physical examination revealed a right lower quadrant well defined, fairly mobile and slightly tender swelling. Hematologic investigations are unremarkable. Imaging with abdominopelvic U\/S and CT-scan showed a predominantly cystic, hypo attenuating right sided pelvic mass with narrow elongated attachment to pancreatic tail and absent spleen in its normal position. CT also showed multiple different sized purely cystic lesions all over both kidneys and the pancreas compatible with AD polycystic kidney and pancreatic disease.<\/jats:p>\n                <jats:p>With a diagnosis of wandering possibly infarcted spleen, she underwent laparotomy, the finding being a fully infarcted spleen located on the right half of the upper pelvis with twisted pedicle and dense adhesions to the adjacent distal ileum and colon. Release of adhesions and splenectomy was done. Her post-operative course was uneventful.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Wandering spleen is a rare clinical condition that needs to be included in the list of differential diagnosis in patients presenting with lower abdominal and pelvic masses. As we have learnt from our case, a high index of suspicion is required to detect it early and intervene by doing splenopexy and thereby avoiding splenectomy and its related complications.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-024-04580-6","type":"journal-article","created":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T00:02:22Z","timestamp":1716595342000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Wandering spleen presenting in the form of right sided pelvic mass and pain in a patient with AD-PCKD: a case report and review of the literature"],"prefix":"10.1186","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3645-9115","authenticated-orcid":false,"given":"Yitagesu aberra","family":"shibiru","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahlu","family":"wondimu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wassie","family":"almaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,25]]},"reference":[{"key":"4580_CR1","first-page":"241","volume":"5","author":"AK Puranik","year":"2015","unstructured":"Puranik AK, et al. Wandering spleen: a surgical enigma. Gastroenterol Rep. 2015;5:241.","journal-title":"Gastroenterol Rep"},{"key":"4580_CR2","volume":"21","author":"K Evangelos","year":"2020","unstructured":"Evangelos K, et al. Wandering spleen volvulus: a case report and literature review of this diagnostic challenge. Am J Case Rep. 2020;21: e925301.","journal-title":"Am J Case Rep."},{"issue":"1","key":"4580_CR3","volume":"15","author":"M Jawad","year":"2023","unstructured":"Jawad M. Wandering spleen: a rare case from the emergency department. Cureus. 2023;15(1): e33246.","journal-title":"Cureus"},{"key":"4580_CR4","first-page":"64","volume":"14","author":"UY Ayaz","year":"2012","unstructured":"Ayaz UY, et al. Wandering spleen in a child with symptoms of acute abdomen. Med Ultrasonogr. 2012;14:64.","journal-title":"Med Ultrasonogr"},{"key":"4580_CR5","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1186\/s12893-021-01289-x","volume":"21","author":"M Masroor","year":"2021","unstructured":"Masroor M, Sarwari MA. Torsion of the wandering spleen as an abdominal emergency: a case report. BMC Surg. 2021;21:289.","journal-title":"BMC Surg"},{"key":"4580_CR6","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1016\/j.ijscr.2014.05.010","volume":"8","author":"K Blouhos","year":"2014","unstructured":"Blouhos K, et al. Ectopic spleen: an easily identifiable but commonly undiagnosed entity until manifestation of complications. Int J Surg Case Rep. 2014;8:451\u20134.","journal-title":"Int J Surg Case Rep"},{"key":"4580_CR7","doi-asserted-by":"publisher","first-page":"1146","DOI":"10.1111\/j.1572-0241.1998.00349.x","volume":"93","author":"A Uc","year":"1998","unstructured":"Uc A. Gastric volvulus and wandering spleen. Am J Gastroenrterol. 1998;93:1146\u20138.","journal-title":"Am J Gastroenrterol"},{"key":"4580_CR8","doi-asserted-by":"publisher","first-page":"93","DOI":"10.4103\/jmas.JMAS_14_18","volume":"15","author":"GO Alqadi","year":"2019","unstructured":"Alqadi GO, Saxena AK. Is laparoscopic approach for wandering spleen in children an option? J Min Access Surg. 2019;15:93.","journal-title":"J Min Access Surg"},{"key":"4580_CR9","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1016\/j.ijscr.2019.06.040","volume":"62","author":"M Awan","year":"2019","unstructured":"Awan M, et al. Torsion of wandering spleen treated by laparoscopic splenopexy. Int J Surgery Case Rep. 2019;62:58.","journal-title":"Int J Surgery Case Rep"},{"key":"4580_CR10","doi-asserted-by":"publisher","first-page":"09428925","DOI":"10.1007\/s00261-003-0142-7","volume":"29","author":"K Taori","year":"2004","unstructured":"Taori K, et al. Wandering spleen with torsion of vascular pedicle: early diagnosis with multiplaner reformation technique of multislice spiral CT. Abdom Imaging. 2004;29:09428925.","journal-title":"Abdom Imaging"},{"key":"4580_CR11","doi-asserted-by":"publisher","first-page":"e33","DOI":"10.1016\/j.jemermed.2011.06.146","volume":"44","author":"AZ Fonseca","year":"2013","unstructured":"Fonseca AZ, et al. Torsion of a wandering spleen treated with partial splenectomy and splenopexy. J Emerg Med. 2013;44:e33.","journal-title":"J Emerg Med"},{"key":"4580_CR12","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1016\/0022-3468(90)90438-F","volume":"25","author":"JH Seashore","year":"1990","unstructured":"Seashore JH, McIntosh S. Elective splenopexy for wandering spleen. J Pediatr Surg. 1990;25:270\u20132.","journal-title":"J Pediatr Surg"},{"key":"4580_CR13","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1007\/s00595-006-3389-0","volume":"37","author":"M Soleimani","year":"2007","unstructured":"Soleimani M. Surgical treatment of patients with wandering spleen: report of six cases with a review of the literature. Surg Today. 2007;37:261.","journal-title":"Surg Today"},{"key":"4580_CR14","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1007\/s004640040043","volume":"15","author":"K Peitgen","year":"2001","unstructured":"Peitgen K. Laparoscopic splenopexy by peritoneal and omental pouch construction for intermittent splenic torsion (\u201cwandering spleen\u201d). Surg Endosc. 2001;15:413.","journal-title":"Surg Endosc"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-024-04580-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-024-04580-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-024-04580-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T00:10:26Z","timestamp":1716595826000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-024-04580-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,25]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["4580"],"URL":"https:\/\/doi.org\/10.1186\/s13256-024-04580-6","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,25]]},"assertion":[{"value":"2 December 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 May 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 May 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical clearance is not applicable but we took oral and written consent from the patient for case presentation and publication.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"There is no competing interest in this case presentation.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"259"}}