Case studies

A wandering spleen: A common presentation of an uncommon anomaly

Anthony C. Ugwu, Ogbonna Chukwudi, Augustine O. Imo
South African Family Practice | Vol 52, No 1 : January/February| a1166 | DOI: https://doi.org/10.1080/20786204.2010.10873930 | ©
Submitted: 06 June 2008 | Published: 28 February 2010

About the author(s)

Anthony C. Ugwu, Nnamdi Azikiwe University, Nigeria
Ogbonna Chukwudi, Federal Medical Centre, Nigeria
Augustine O. Imo, Ebonyi State University Teaching Hospital, Nigeria

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Abstract

Background: With the advent of real time ultrasonography of the abdomen, the spleen is no longer an inaccessible organ. Wandering spleen is a rare entity with only less than 500 cases reported so far.

Method: This case report presents a 16-year- old Nigerian girl admitted in a medical centre but referred for ultrasonography on account of a clinical history of lower abdominal tenderness.

Result: Ultrasonography examination revealed that the spleen was not found in its normal anatomical position. However, a well acoustic signature of the spleen was seen in the pelvis.

Conclusion: Ultrasonography which is far cheaper than magnetic resonance imaging (MRI) and computed tomography (CT) is a valuable diagnostic aid in this condition.


Keywords

wandering spleen; ultrasonography; Nigeria

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