Illustrative CasesThe Great Pretender: Pediatric Wandering Spleen Two Case Reports and Review of the LiteratureRadillo, Lucia MD; Taddio, Andrea MD; Ghirardo, Sergio MD; Bramuzzo, Matteo MD; Pederiva, Federica MD, PhD; Maschio, Massimo MD; Barbi, Egidio MDAuthor Information From the Institute for Maternal and Child Health, IRCCS “Burlo Garofolo”, Trieste, Italy. Disclosure: The authors declare no conflict of interest. Reprints: Matteo Bramuzzo, MD, Pediatric Department, University of Trieste, Via dell'Istria 65/1, 34148, Trieste, Italy (e-mail: firstname.lastname@example.org). Pediatric Emergency Care: September 2016 - Volume 32 - Issue 9 - p 619-622 doi: 10.1097/PEC.0000000000000642 Buy Metrics Abstract Wandering spleen is a rare condition, typically not only due to embryological defects of the splenic ligaments, but also secondary to trauma and splenomegaly. The most common presentation is acute abdomen with a mobile abdominal mass or recurrent abdominal pain. However, the spleen may be temporary in its normal position, and patients could be asymptomatic. A familiarity, if present, strengthens the diagnostic suspect. Abdominal ultrasonography and computed tomography are the examination of choice, and the management is surgical. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.