Abstract
A 32-year-old woman was admitted emergently for abdominal pain six months after childbirth. An emergent operation was conducted under a diagnosis of “acute abdomen” ; the precise diagnosis was unclear. A splenectomy was done since the pedicle was rotated 720 degrees and the spleen showed evidence of congestive necrosis. The patient's postoperative recovery was uneventful. The signs and symptoms of a wandering spleen are varied. While some patients present with acute torsion of the splenic pedicle, others may simply present with a mobile palpable mass. The treatment of choice is splenopexy in asymptomatic cases especially those presenting in childhood. If splenic necrosis is present, splenectomy is usually required.
