Retroperitoneal accessory spleen simulating a suprarenal mass

“…Rosenkranz et al reported that angiographic demonstration of splenic blood supply could be helpful to rule out pancreatic tumor or an adrenal tumor [3]. Hayward et al mentioned that an intrapancreatic accessory spleen should be considered whenever a mass enhancing to the same degree as the spleen is seen within the pancreas on CT [6].…”

Section: Discussionmentioning

confidence: 99%

Intrapancreatic accessory spleen: case report

1998

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“…Accessory spleens may be entirely asymptomatic, but occasionally an accessory spleen may simulate a gastric (Das Gupta and Busch, 1960) or suprarenal tumor (Rosenkranz et al, 1969). Accessory spleens presenting as a large abdominal mass (Mostbeck et al, 1987) or a retroperitoneal tumor (Rosenthal and Bishop, 1981;Miller et al, 1990) have also been reported.…”

Section: Clinical Significancementioning

confidence: 99%

Multiple accessory spleens: Case report and literature review

Abu-Hijleh

1993

Clinical Anatomy

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Accessory spleens may be overlooked during splenectomy. Consequently, a second splenectomy may be necessary. This report concerns the occurrence of multiple accessory spleens discovered during routine dissection of a male cadaver. Their size ranged from 0.5 to 6 cm, and they were located in the hilus and ligaments of a spleen with a normal appearance. Their splenic structure was confirmed histologically. The embryological basis of accessory spleens is re-examined, and the frequency of their occurrence and their clinical significance are reviewed. The purpose of this paper is to alert the practicing surgeon again to the existence and significance of accessory spleens. 0 1993 Wiley-Liss, Inc.

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“…which had increased in inLensit) in the wccks preceding hospiLalil.aLion. Pneumonia in the lell lo\\er lobe was found Occasionally an accessory spleen was described as mimicking gastric or suprarenal tumors (4,10). An accessory spleen rare-Iy presents as a surgical emergency (I), with symptoms of Hacute abdomen" due to torsion (7), infarction (2,8), rupture (11) and intestinal obstruction (9).…”

Section: Schlüsselwörter: Akzessorische Milz -Bauchtumor -Chronische mentioning

confidence: 99%