A case of conservatively managed pelvic wandering spleen clinically mimicking uterine mass: A case report and literature review

A wandering spleen is a rare clinical condition characterized by abnormal spleen mobility to the abdominal or pelvic cavity from its normal position in the left hypochondrium. Currently the gold standard of management is the surgical option with splenopexy. A conservative approach is another option for management, even though it is not preferable, as most cases eventually complicate. We presented a 26-year-old female patient who had an on-and-off-type abdominal pain of 2 years duration with an 18-week-sized palpable lower abdominal mass. Abdominopelvic ultrasound and CT scan confirmed pelvic wandering spleen. She declined the surgical option and opted for conservative management. Pelvic location with enlargement of the spleen may clinically mimic a uterine mass. There is potential for successful conservative management of pelvic wandering spleen, especially in the absence of acute complications.