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Canadian Journal of Gastroenterology
Volume 13, Issue 2, Pages 169-171
http://dx.doi.org/10.1155/1999/828742
Brief Communcation

The ‘True’ Splenic Wanderer

R Kanthan and JM Radhi

Department of Pathology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada

Received 13 February 1998; Accepted 21 July 1998

Copyright © 1999 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Wandering spleen is an unusual entity and remains an elusive clinical diagnosis. Among the modern imaging modalities including computed tomography, magnetic resonance imaging, nuclear scans and ultrasonography, the latter appears to be the least invasive and the most effective in reaching a definitive diagnosis. A patient with ‘true’ wandering spleen who presented with chronic, intermittent abdominal pain, weight loss and a right lower quadrant mass that was interpreted as a pelvic lymphoma or a primary pelvic malignancy on computed abdominal tomography (CAT) scan is presented. Abdominal ultrasonography conducted a few weeks before the CAT scan showed a normal splenic shadow in the left upper abdomen.