**3. Etiology**

Wandering spleen can be a congenital or acquired condition.

Laparoscopic Gastropexy

ligament

**3.1.1 Association** 

**3.1.1.2 Omphalocele** 

**3.2 Acquired form** 

**3.1.2 Familial wandering spleen** 

3-year interval. (Ben Ely et al, 2008)

**3.2.1 Postoperative (subtotal splenectomy)** 

**3.1.1.1 Congenital diaphragmatic hernia** 

for the Treatment of Wandering Spleen With or Without Gastric Volvulus 207

Fig. 3. Frontal section showing the formation of splenocolic ligament and phrenicocolic

The first case of wandering spleen associated to congenital diaphragmatic hernia (CDH) was described in the literature in 1940 by Bohrer. Several cases have been reported since then (Yasuda et al, 2010; Fiquet-François et al, 2010; Yilmaz et al, 2008; De Foer et al, 1994). The diagnosis of both pathologies can occur at the same time or the diagnosis of wandering spleen can be secondary to CDH. With CDH wandering spleen can be a result of an abnormal or absence of retroperitoneal fixation. Based on these data, all patients with CDH

Yilmaz reported the unusual case of wandering spleen associated to omphalocele. (Yilmaz et al, 2008) As a possible cause for this association they listed defects on the abdominal walls through which the organs were protruding, resulting in a restriction of the stomach and

Ben Ely described the first case of familial wandering spleen with two sisters diagnosed at a

Even if these data are not found in the literature, our multicenter study (Fiquet-François et al, 2010) reported 4 cases of wandering spleen post subtotal splenectomy. They were in fact excluded from the study that only focused on congenital forms. These cases are quite

spleen normal rotation or inefficient fusion after the rotation has been completed

should be considered as potential candidates for wandering spleen.
