Milztorsion

Imaging

findings of splenic emergencies: a pictorial review. Splenic torsion in a patient with wandering spleen. (a) Coronal contrast-enhanced CT image reveals ‘ectopic wandering spleen’ (arrow) in the pelvis. (b) Axial contrast-enhanced CT at superior level than pelvis further demonstrates ‘whirling’ appearance (arrow) of splenic vessels, suggesting ‘torsion of the spleen’ as well. Normal parenchymal enhancement indicates lack of infarction

Imaging

findings of splenic emergencies: a pictorial review. Splenic torsion. (a) Axial, (b) coronal and (c) sagittal contrast-enhanced CT images of a 17-year-old female with a history of recurrent abdominal pain and suspected Familial Mediterranean Fever show anteromedially displaced spleen (arrows). No contrast enhancement was observed in spleen parenchyma (asterisks), suggesting splenic infarct secondary to splenic torsion. Stomach (arrowheads) is posteromedially compressed by enlarged and torsed spleen