**3.2.2 Traumatic diaphragmatic hernia**

As discussed above, CDH can be associated to wandering spleen; in fact traumatic diaphragmatic hernia can also generate acquired wandering spleen.

#### **3.2.3 Malarial infection**

Malarial infection has not been clearly validated as responsible for the onset of secondary wandering spleen, but it can clearly trigger the pathology, asymptomatic until then.

Cripps described the case of a patient who had a malarial infection at the age of 5 and the CT-Scan done at the time validated a normally located spleen. (Cripps et al, 2010) However at the age of 18 she developed clinical symptoms and the diagnosis concluded to wandering spleen that could have resulted from a congenital fusion anomaly or attenuation of the patient's suspensory ligaments caused by her previous malarial infection and splenomegaly. However we can wonder if the malarial splenomegaly did not simply unveil an underlying congenital abnormality.

Fig. 5. Frontal view. Peritoneal attachments of spleen. Stomach is retracted to the right
