[Case report] Unusual Cause of Bowel Obstruction in Adolescent: Wandering Spleen with Internal Hernia and Ectopic Left Kidney. A Case Report.

Abstract

BACKGROUND: A wandering spleen is a condition in which the spleen, located in the upper left abdomen, becomes dislocated from its normal position. Although literature on wandering spleen exists, there is very limited literature on wandering spleen causing internal hernia. We present a novel case of wandering spleen, left ectopic kidney with internal herniation leading to intestinal obstruction. CASE PRESENTATION: 13-year-old female presented with abdominal pain and imaging showed a wandering spleen with cyst, left ectopic kidney, internal herniation leading to intestinal obstruction. Barium enema showed normal flow of contrast and patient was managed conservatively. CONCLUSION: Wandering spleen with internal hernia causing transient obstruction are rare and the radiologist needs to know the imaging findings to make a correct diagnosis. To serve that purpose we present such a unique case.