Abstract
A 48-year-old Colombian woman visited our hospital with persistent abdominal pain that developed the same morning. Computed tomography (CT) showed an enlarged spleen without enhancement and large splenic cyst. The “whirl sign” of the splenic vessels was revealed at the splenic hilum. The patient had visited our hospital with abdominal pain one year previously. CT had shown a wandering spleen without any torsion at that time. Emergent operation was performed for the presumptive diagnosis of splenic torsion with infarction at this time. The spleen was twisted 3 1/2 times and had become necrotic. The color did not improve with repositioning. Therefore, the spleen was resected. The pathological exam demonstrated marked in faction with bleeding in the spleen.
