Wandering spleen

• Failure of formation of peritoneal attachments
  • Failure of fusion of dorsal mesograstrium
• Can be aquired, causing long splenic pedicle
  • ED hormonal changes in pregnancy
• Most are asymptomatic, but can cause splenic torsion
• Management
  • Splenopexy
    • Procedure done by wrapping vicryl mesh around spleen and then tacking to abdominal wall
  • Splenectomy