TY - JOUR T1 - Wandering spleen with torsion of the pedicle JF - Saudi Medical Journal JO - Saudi Med J SP - 135 LP - 136 VL - 28 IS - 1 AU - Michael C. Safioleas AU - Michael C. Stamatakos AU - Ahmad I. Diab AU - Panayotis M. Safioleas Y1 - 2007/01/01 UR - http://smj.org.sa/content/28/1/135.abstract N2 - Wandering spleen is a rare medical entity. It usually occurs at 20-40 years of age, and most cases are seen in women. Clinical diagnosis is difficult due to lack of symptoms, unless splenic torsion has occurred and clinical symptomatology of acute abdomen develops. The diagnosis can be confirmed by imaging techniques. Treatment is operative due to complications of splenic infarction. Splenopexy is the usual treatment, except for cases of splenic infarction. Splenectomy should be carried out when there is no evidence of splenic blood flow after detorsion of the spleen and in cases of excessive splenomegaly. ER -