case_images: PMC9262086_01
case_images: CECT scan coronal section showing non-enhancing a large spleen in the mid of abdomen.
case_images: acc-09-02-56-g001.jpg
case_images: PMC9262086_01_acc-09-02-56-g001.jpg
case_images: f1
case_images: The CECT abdomen revealed a large homogenous mass of size 17.1x14.6x10.5 cm in the mid of the abdomen (Figure 1).
case_images: An axial section of the CECT scan showing a "whirl sign" of the splenic pedicle.
case_images: acc-09-02-56-g002.jpg
case_images: PMC9262086_01_acc-09-02-56-g002.jpg
case_images: f2
case_images: It also showed the "whirl sign' of the twisting vascular pedicle of the spleen in the abdomen, which is pathognomonic for pedicle torsion (Figure 2).
case_images: Intraoperative image showing torsion of the prolonged splenic pedicle.
case_images: acc-09-02-56-g003.jpg
case_images: PMC9262086_01_acc-09-02-56-g003.jpg
case_images: f3
case_images: On exploration, a grossly enlarged congested and ischemic spleen with a 720  twisted pedicle was found (Figure 3).
case_images: Microscopic image showing extensive hemorrhagic necrosis of splenic tissue.
case_images: acc-09-02-56-g004.jpg
case_images: PMC9262086_01_acc-09-02-56-g004.jpg
case_images: f4
case_images: Splenectomy was done due to non-viability of the spleen and the specimen was sent for histopathological examination which confirmed the passive congestion and hemorrhagic necrosis of the splenic tissue (Figure 4).