Case report

Wandering spleen is a rare clinical entity, and its chronic torsion of the vascular pedicle result in splenic infarction. Here, we present a case of wandering spleen in 16–year old female with a history of recurrent attacks of abdominal pain. Pre- operative management consisted of routine laboratory tests, ultrasound, CT scan. An ectopic wandering spleen with torsion and splenic infarction along with an accessory spleen in original splenic bed were diagnosed.
Preoperative vaccination against pneumococcus and Haemophilus influenzae were given.
The patient was electively treated with laparoscopic splenectomy.
Laparoscopic splenectomy was performed. Post-operative recovery was uneventful, and the patient was discharged on the 2nd post-operative day.
This case represents a simultaneous condition of ectopic wandering spleen with pedicle torsion along with an accessory spleen. The coexistence of these two rare conditions is peculiar such as the age of the patient, as literature reports such diseases to affect children or more commonly people in the range of 20–40 years of age. Laparoscopic treatment for this particular condition is also unusual.