Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Jan 1;65(1):45-50.
doi: 10.4103/singaporemedj.SMJ-2022-120. Epub 2024 Jan 12.

Clinics in diagnostic imaging (218)

James Zheng Yang  1 , Mei Chin Lim  1 , Yi Ming Teo  1 , Yang Yang Lee  2
Affiliations

Clinics in diagnostic imaging (218)

James Zheng Yang et al. Singapore Med J. .
No abstract available

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Abdominal radiograph of the patient at the time of presentation.
Figure 2
Figure 2
Contrast-enhanced (a) coronal and (b) axial CT images of the abdomen and pelvis.
Figure 3
Figure 3
Intraoperative image taken from the patient’s right side demonstrates volvulus at the pedicle of the spleen.
Figure 4
Figure 4
Abdominal radiograph shows the characteristic triangular/wedge-shaped appearance of the splenic shadow (arrow) in the left hypochondrium.
Figure 5
Figure 5
Chest radiograph of an adult patient with situs inversus. The apex of the heart is directed towards the right (white arrow), and the stomach bubble lies in the right hypochondrium (black arrow). An associated right-sided aortic arch is also noted (arrowhead), with the aortic knuckle seen in the right mediastinum. The splenic shadow is present and lies in the right hypochondrium (*).
Figure 6
Figure 6
A 72-year-old man with a history of traumatic splenectomy and likely abdominal splenosis. (a) Axial and (b) coronal T2-W MR images of the abdomen show absence of the spleen in the left hypochondrium (arrows). The left kidney is also not visualised (* in b), possibly related to prior trauma. (c & d) Axial T2-W fat-suppressed MR images show a few well-circumscribed, lobulated masses adjacent to the liver and distal pancreas (arrows). These masses show enhancement characteristics similar to splenic tissue, likely representing ectopic splenic deposits secondary to previous splenic injury.
Figure 7
Figure 7
A 25-year-old man with sickle cell disease. (a) Chest radiograph shows a partially calcified opacity projected over the left hypochondrium (arrow). (b) Contrast-enhanced axial CT image shows a shrunken calcified spleen in the left hypochondrium (arrow). (c) Contrast-enhanced axial CT image inferior to (b) shows associated calcified gallstones (arrow) due to chronic haemolysis and increased bilirubin excretion. (d) Contrast-enhanced coronal CT image shows diffusely coarsened trabeculae in the thoracolumbar spine secondary to marrow hyperplasia, with endplate fractures seen in a few of the vertebrae (arrows).
Figure 8
Figure 8
Chest and abdominal radiograph at birth shows multiple small bowel loops within the left hemithorax (arrows) consistent with a left-sided congenital diaphragmatic hernia.
See this image and copyright information in PMC

References

    1. Iqbal M, Tareen MA, Sohail U. Torsion of a wandering spleen presenting as a case of acute abdomen. J Coll Physicians Surg Pak. 2009;19:123–4. - PubMed
    1. Flores-Ríos E, Méndez-Díaz C, Rodríguez-García E, Pérez-Ramos T. Wandering spleen, gastric and pancreatic volvulus and right-sided descending and sigmoid colon. J Radiol Case Rep. 2015;9:18–25. - PMC - PubMed
    1. Lee NK, Kim S, Jeon TY, Kim HS, Kim DH, Seo HI, et al. Complications of congenital and developmental abnormalities of the gastrointestinal tract in adolescents and adults: Evaluation with multimodality imaging. Radiographics. 2010;30:1489–507. - PubMed
    1. Nemcek AA, Jr, Miller FH, Fitzgerald SW. Acute torsion of a wandering spleen: Diagnosis by CT and duplex Doppler and color-flow sonography. AJR Am J Roentgenol. 1991;157:307–9. - PubMed
    1. Cogley JR, O'Connor SC, Houshyar R, Dulaimy K. Emergent pediatric US: What every radiologist should know. Radiographics. 2012;32:651–65. - PubMed