J Korean Soc Magn Reson Med.  2014 Sep;18(3):253-257. 10.13104/jksmrm.2014.18.3.253.

MR Images of Infarction of Wandering Spleen Associated with Intestinal Non-rotation

• Kim E
• Kim MY
• Kim YJ
• Kim YJ
• Kim WC
• Suh CH
• Choi SJ
• Cho JS

• KMID: 1999925
• DOI: http://doi.org/10.13104/jksmrm.2014.18.3.253

Abstract

Wandering spleen is a rare clinical condition caused by lax splenic suspensory ligaments. The laxity of ligaments causes torsion of splenic vascular pedicle. CT scan of a 7-year-old girl with abdominal pain showed a non-enhancing lobular mass in lower abdomen. Small bowel loops were located at the right-sided abdomen and colonic loops at the left-sided abdomen. MRI scan showed non-enhancing heterogeneous mass with twisted vascular pedicle. To our knowledge, only a few cases have been reported about wandering spleen diagnosed on MRI.

Keyword

Wandering spleen, infarction; Computed tomography; Magnetic resonance imaging

MeSH Terms

Abdomen
Abdominal Pain
Child
Colon
Female
Humans
Infarction*
Ligaments
Magnetic Resonance Imaging
Tomography, X-Ray Computed
Wandering Spleen*

Figure

• 

  Fig. 1 a. Contrast enhanced coronal CT scan shows non-enhanced wandering spleen (WS) and accessory spleens (open arrowheads), right-sided small bowel loops (sb), left-sided colon loops (c), and small amount of ascites (*). b. Contrast enhanced axial CT scan shows twisted engorged splenic vessel (arrow) with perivascular edema and fat infiltration. c. Coronal fast spin echo T2 weighted image shows wandering spleen (WS) with heterogeneously hyperintense lesions, right-sided small bowel loops (sb), left-sided colon loops (c). (slice thickness 5 mm, FOV 180×180, Matrix 352×192, TR/TE=4883/104) d. Contrast enhanced coronal T1 weighted image with fat suppression shows non-enhancing wandering spleen (WS) containing enhancing foci near the hilum portion (arrow). (slice thickness 5 mm, FOV 180×180, Matrix 352×192, TR/TE=666/11) e. Coronal fast spin echo T2 weighted image shows twisted splenic vessels (arrows) which was connected to the infarcted wandering spleen (WS) and accessory spleens (open arrowheads). f. Axial fast spin echo T2 weighted image image shows more evident whirling splenic vessel (arrows).

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