Symptomatic accessory spleen

Zhang, Ke Ren; Jia, Hui

doi:10.1016/j.surg.2007.10.024

Cited by 9 publications

(7 citation statements)

References 4 publications

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“…Only a few cases have been reported in the literature. Patients range in age from infants to the elderly, with most cases occurring in children ( 6 , 14 , 15 , 16 , 17 , 18 , 19 ). The size of a torsed accessory spleen is variable.…”

Section: Discussionmentioning

confidence: 99%

Torsion of an accessory spleen: Case report and review of the literature

Sadro¹,

Lehnert²

2013

Radiology Case Reports

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Torsion of an accessory spleen is an uncommon cause of abdominal pain. Only a few cases have been reported in the literature. Most cases occur in children, and in most cases the diagnosis is made at surgery. We report a case of torsion of an accessory spleen in an adult female who presented with acute left-flank pain. The diagnosis was made on contrast-enhanced computed tomography (CT) and was confirmed at surgery. Without treatment, torsion of an accessory spleen can lead to hemorrhagic shock, peritonitis, and bowel obstruction. It is useful for the radiologist to make this diagnosis on imaging so that biopsy can be avoided and surgery performed to avoid complications.

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Section: Discussionmentioning

confidence: 99%

Torsion of an accessory spleen: Case report and review of the literature

Sadro¹,

Lehnert²

2013

Radiology Case Reports

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“…These may be due to splenic trauma or rupture and may occur anywhere along the hilum of the spleen, the tail of the pancreas, the gastro splenic and splenorenal ligaments, the walls of the stomach or intestines, the greater omentum, the mesentery, the adrenals, and the gonads in the case of splenogonadal fusion [9] , [10] , [11] , [12] , [13] . They are usually small with diameter between 0.8 and 3.2 cm with a mean of 1.6 cm [3] , [14] . Accessory spleens have been reported to have compensatory hypertrophy reaching 3–5 cm after a splenectomy or arising after a variety of hematological disorders [2] .…”

Section: Discussionmentioning

confidence: 99%

Right sided spleen laying retro-duodenal: A case report and review of the literature

Maharaj

Ramcharan

Maharaj

et al. 2016

International Journal of Surgery Case Reports

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“…An accessory spleen is a common congenital defect that affects 10-30% of the population (6). They are generally small (15.0-20.0 mm) and are primarily located in the splenic hilum (75%) or in the tail of the pancreas (20%) (7). Occasionally they may be located in the splenorenal ligament, greater omentum, mesentery, presacral area, adnexal region, scrotum, pelvic cavity, liver or the thorax (8)(9)(10)(11)(12).…”

Section: Discussionmentioning

confidence: 99%

Rare presentation of a right retroperitoneal accessory spleen: A case report

Zhou

Chen

et al. 2015

Oncology Letters

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Abstract. An accessory spleen is a congenital malformation, which is defined as ectopic splenic parenchyma. Here, an extremely rare case of a right retroperitoneal accessory spleen, mimicking a retroperitoneal neoplasm, is reported. A 40-year-old woman was referred following the incidental detection of a retroperitoneal neoplasm. Computed tomography and magnetic resonance imaging scans confirmed the presence of a retroperitoneal neoplasm at the hepatorenal recess. Retroperitoneoscopic excision was conducted, with excellent results. Pathological examination of the resected specimen revealed splenic tissue. In conjunction with a review of the literature and a discussion of the salient radiological features, the present case highlights the requirement for accurate preoperative diagnosis of an accessory spleen in the right retroperitoneal space, in order to avoid unnecessary surgical intervention. IntroductionAn accessory spleen is a congenital defect, defined as ectopic splenic parenchyma separated from the main body of the spleen. Although the majority are benign and do not usually require treatment, they may be mistaken for enlarged lymph nodes or neoplasms. Primary retroperitoneal neoplasms are a group of rare but diverse neoplasms that arise within the retroperitoneal space, which account for 0.1-0.2% of all malignancies in the body. Notably, 80-90% of all primary retroperitoneal tumors are malignant (1,2). Primary retroperitoneal neoplasms are classified as solid or cystic masses. Solid neoplasms are divided into three main categories according to the tissue of origin:Mesodermal tumors, neurogenic tumors and extragonadal germ cell tumors (3). Computed tomography (CT) and magnetic resonance imaging (MRI) are essential for the characterization of primary retroperitoneal neoplasms, evaluating the extent of local invasion, identification of metastases, and determination of the optimal treatment response for such neoplasms (4). Therefore accurate preoperative diagnosis is important in order to avoid unnecessary surgical intervention. The current report discusses the case of a patient with a right retroperitoneal accessory spleen, mimicking a retroperitoneal neoplasm. Written informed consent was obtained from the patient's family. Case reportA 40-year-old woman without any abdominal discomfort was referred to Zhejiang Hospital (Zhejiang, China) for surgical excision, following the incidental detection by B ultrasound of a right retroperitoneal neoplasm at Zhejiang Hospital. Routine physical examination and laboratory data, including full blood count, blood glucose, C-reactive protein, tumor markers and liver function tests, were all unremarkable. Her medical history was notable for a splenectomy performed in 2002, for splenic rupture as a result of upper abdominal trauma.Ultrasonography demonstrated a space-occupying neoplasm, with a less abundant vascular supply than the surrounding normal tissue, located in the right retroperitoneal space (Fig. 1). CT imaging revealed a well-marginated ovoid neoplasm, of ~38.0x25...

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Symptomatic accessory spleen

Cited by 9 publications

References 4 publications

Torsion of an accessory spleen: Case report and review of the literature

Torsion of an accessory spleen: Case report and review of the literature

Right sided spleen laying retro-duodenal: A case report and review of the literature

Rare presentation of a right retroperitoneal accessory spleen: A case report

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