2026-10-10T03:11:14Z https://api.figshare.com/v2/oai

oai:figshare.com:article/33994172 2026-09-25T08:59:47Z category_7 portal_147 item_type_3 month_year_09_2026

Supplemental Material for: Pelvic Wandering Spleen with Splenic Infarction, Sigmoid Volvulus, and Hydronephrosis: A Case Report figshare admin karger (2628495) Kreshnike Dedushi Hoti (24703276) Flaka Pasha (24703278) Masum Rahman (17678901) Jeton Shatri (24703279) Kaltrina Goçaj (24703282) Floren Kavaja (24703287) Medicine Medicine Introduction: Wandering spleen (WS) is a rare clinical condition characterized by the absence or laxity of the splenic suspensory ligaments, which are normally responsible for anchoring the spleen in its typical position in the left upper quadrant of the abdomen. In WS, these ligaments are either congenitally absent or have become lax due to factors such as pregnancy, trauma, or connective tissue disorders, allowing the spleen to migrate abnormally within the abdominal cavity. This abnormal mobility places the spleen at high risk for torsion, leading to vascular compromise, ischemia, and eventual infarction. While isolated WS is rare, its occurrence alongside simultaneous gastrointestinal, urological, and gynecological complications is uncommon and presents a diagnostic and therapeutic challenge.Case Presentation: We report a case of a 31-year-old female, identified as Albanian, who presented to our department with acute, severe lower abdominal pain and a sensation of pelvic pressure. Physical examination suggested diffuse tenderness in the lower abdomen. Laboratory investigations showed elevated inflammatory markers, including leukocytosis and elevated C-reactive protein, along with deranged liver function tests. Magnetic resonance imaging (MRI) revealed a pelvic spleen with evidence of complete infarction, as demonstrated by the absence of contrast enhancement and the classic “whirling sign” of twisted splenic vessels, indicative of torsion. Additionally, imaging uncovered a sigmoid colon volvulus, left ovarian enlargement likely secondary to congestion, and left-sided hydronephrosis due to ureteral compression. The patient underwent an emergency laparotomy, during which a splenectomy, appendectomy, and decompression of the sigmoid colon were performed. Postoperative recovery was smooth, and the patient was discharged in stable condition with appropriate follow-up.Conclusion: This case presents the role of cross-sectional imaging in diagnosing complex, multisystem abdominal emergencies. Early detection and timely surgical intervention are paramount crucial in preventing debilitating outcomes, such as peritonitis or sepsis. The case adds to the limited literature by illustrating a rare presentation of WS complicated by simultaneous involvement of the splenic, gastrointestinal, urological, and gynecological systems, emphasizing the need for high clinical suspicion and multidisciplinary management in similar scenarios. 2026-09-25T08:59:47Z Dataset Dataset 10.6084/m9.figshare.33994172.v1 https://figshare.com/articles/dataset/Supplemental_Material_for_Pelvic_Wandering_Spleen_with_Splenic_Infarction_Sigmoid_Volvulus_and_Hydronephrosis_A_Case_Report/33994172 CC BY 4.0