Left diaphragmatic eventuation with a suprapubic spleen: Report of a case

Diaphragmatic defects such as eventration and hernia are known to be associ ated with a high-sited, sometimes intrathoracic spleen. We report here a un ique case of an 8-year-old boy found to have a left congenital diaphragmati c eventration and a suprapubic wandering spleen after presenting with sympt oms of an "acute abdomen" due to torsion of the splenic pedicle. To our kno wledge only one other case of a similar paradoxical association of these an omalies has been reported before; interestingly, in this patient splenic in farction had also resulted secondary to splenic torsion. We recommend caref ul evaluation of the location and vascular status of the spleen in all pati ents with congenital diaphragmatic defects due to the common occurrence of splenic vascular insult.