What is false regarding wandering spleen?: (A) Chronic torsion leads to splenomegaly, (B) Treatment of choice is splenectomy only, (C) Infarction & torsion are common, (D) It is encapsulated with long vascular pedicle
Answer is B. Wandering spleen- when position is not fixed due to laxity of ligaments or previous surgery - twisting of vascular pedicel - splenic congestion . Wandering Spleen Wandering spleen is an unusual condition with normal spleen having a long loose & vascular splenic pedicle but lacks ligamental attachments. Clinical Features: Intermittent abdominal pain, splenomegaly resulting from venous congestion & severe persistent pain. May lead to splenic torsion & infarction. Chronic torsion typically causes venous congestion & splenomegaly. Splenectomy or splenopexy is treatment of choice.