Gastric volvulus associated with wandering spleen in a child

Wandering spleen is an uncommon entity in childhood and has been described only rarely in association with gastric volvulus. Wandering spleen and gast ric volvulus were diagnosed in a 5-year-old boy who presented with acute ab dominal pain and distension. Intraoperatively, normal ligamentous connectio ns between the stomach, spleen, and posterior abdominal wall were absent. D evelopmental anomalies that result in wandering spleen may lead to hypermob ility of the stomach and a predisposition to gastric volvulus. In such pati ents, prophylactic gastropexy should be considered. Copyright (C) 2000 by W .B. Saunders Company.