Wandering spleen is a rare medical condition in which the spleen moves from its normal position in the upper left abdomen to other parts of the body, such as the pelvis or the lower abdomen. It is caused by a laxity of the ligaments that normally hold the spleen in place. Symptoms of wandering spleen include abdominal pain, nausea, vomiting, and a feeling of fullness. Treatment typically involves surgical removal of the spleen.

The most common symptom of a wandering spleen is abdominal pain. Other symptoms may include:

- Abdominal swelling

- Nausea and vomiting

- Loss of appetite

- Fever

- Abdominal tenderness

- Abdominal fullness

- Abdominal bloating

- Pain that radiates to the back or shoulder

- Fatigue

- Paleness

- Rapid heart rate

- Shortness of breath

The most common cause of wandering spleen is a laxity of the ligaments that normally hold the spleen in place. This can be caused by a congenital defect, trauma, or a medical condition such as Ehlers-Danlos syndrome. Other causes include abdominal tumors, abdominal surgery, and pregnancy.

The treatment for a wandering spleen depends on the severity of the condition. In some cases, the spleen may be able to be repositioned and stabilized with a laparoscopic procedure. In more severe cases, the spleen may need to be surgically removed. In some cases, a splenopexy may be performed, which involves attaching the spleen to the abdominal wall to keep it in place. In some cases, a splenectomy may be necessary to remove the spleen. In some cases, a splenectomy may be combined with a splenopexy to ensure the spleen remains in place.

The risk factors for Wandering Spleen include:

1. Congenital laxity of the ligaments that normally hold the spleen in place.

2. Trauma or injury to the abdomen.

3. Pregnancy.

4. Obesity.

5. Ascites (accumulation of fluid in the abdomen).

6. Connective tissue disorders such as Marfan syndrome or Ehlers-Danlos syndrome.

7. Cystic fibrosis.

8. Chronic liver disease.

9. Chronic lung disease.

10. Chronic kidney disease.

There is no cure for wandering spleen, but medications can be used to reduce the symptoms. These medications include antispasmodics, antacids, and anti-inflammatory drugs. Surgery may also be necessary to reposition the spleen and prevent further complications.