A rare case of splenic torsion in an infant

A 5-month old male presented to the emergency room with fussiness, emesis and fever. An abdominal CT showed a diffusely hypo attenuated spleen concerning for splenic liquefaction, and a Doppler US confirmed no detectable splenic blood flow. At laparotomy, a wandering spleen was identified with 720 degrees of torsion, and he then underwent a splenectomy. This case emphasizes the importance of considering splenic torsion on the differential for pediatric abdominal pain.