Various techniques of splenopexy have been reported in the literature. The major complication of splenopexy is breakdown of the suture fixation and recurrence of splenic torsion. Also, as discovered in the case of one of our patients, splenic pseudocapsule formation can be a complication. We recommend careful follow-up, since we have found that problems related to adhesions and pseudocapsule formation may develop. Wandering spleen is a rare entity arising from the failure of fusion of the dorsal peritoneum.
Definitive treatment is surgical.
Splenopexy should be done in children if the spleen is not infarcted after detorsion. Splenectomy should be done if there is no evidence of blood flow to the spleen after detorsion. Results of splenopexy are considered good. Symptomatic wandering spleen. Acute abdomen caused by torsion of the pedicle in a wandering spleen.