A wandering spleen, also known as splenic ptosis, is a rare medical condition where the spleen is not properly attached to its usual position in the upper left abdomen and can move freely within the abdominal cavity. This occurs due to the weakening or absence of the ligaments that hold the spleen in place.
Symptoms: The condition may be asymptomatic or present with various symptoms such as abdominal pain, nausea, vomiting, and a palpable mass in the abdomen. In some cases, the wandering spleen can twist on its own blood vessels, leading to a medical emergency called splenic torsion.
Causes: Wandering spleen is often congenital, meaning it is present at birth. It can also be acquired due to trauma, pregnancy, or conditions that weaken the ligaments supporting the spleen.
Diagnosis: Diagnosis involves physical examination, imaging tests (such as ultrasound or CT scan), and sometimes angiography to evaluate blood flow to the spleen.
Treatment: Treatment options depend on the severity of symptoms and the risk of complications. Non-surgical management may include wearing a supportive belt or corset to hold the spleen in place. However, surgical intervention is often necessary to prevent complications or relieve symptoms. The surgical procedure may involve splenopexy (reattaching the spleen to its normal position) or splenectomy (removal of the spleen).