case_images: PMC10583505_01
case_images: Computed tomography images. (a) Axial image showing moderately enlarged spleen with absent enhancement. (b)Whirl appearance of splenic pedicle, including the pancreatic tail (demonstration of a thickened and coiled vascular pedicle) - pathognomonic finding of torsion.
case_images: 10.1177_2050313X231205812-fig1.jpg
case_images: PMC10583505_01_10.1177_2050313X231205812-fig1.jpg
case_images: fig1-2050313X231205812
case_images: A CT of the abdomen and pelvis was performed, which demonstrated findings consistent with wandering spleen with splenic infarction and rotated mesentery, involving the tail of pancreas, splenic vein and superior mesenteric vein, and its branches suggestive of a whirl sign (Figure 1).
case_images: Intraoperative findings. (a) Infarcted, moderately enlarged pelvic spleen. (b) Splenic volvulus showing torsion of splenic pedicle. (c) Untwisted splenic pedicle along with pancreatic tail. (d) Splenectomy specimen (20 cm x 15 cm x 9 cm).
case_images: 10.1177_2050313X231205812-fig2.jpg
case_images: PMC10583505_01_10.1177_2050313X231205812-fig2.jpg
case_images: fig2-2050313X231205812
case_images: Spleen appeared dusky in colour (Figure 2).