The Great Pretender: Pediatric Wandering Spleen

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Wandering spleen is a rare condition, typically not only due to embryological defects of the splenic ligaments, but also secondary to trauma and splenomegaly. The most common presentation is acute abdomen with a mobile abdominal mass or recurrent abdominal pain. However, the spleen may be temporary in its normal position, and patients could be asymptomatic. A familiarity, if present, strengthens the diagnostic suspect.

Abdominal ultrasonography and computed tomography are the examination of choice, and the management is surgical.

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