Author(s): Bard V, Goldberg N, Kashtan H
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Abstract INTRODUCTION: Accessory spleen is a rare condition. Torsion of accessory spleen can lead to acute abdomen. PRESENTATION OF CASE: We describe a young woman with an acute abdomen caused by torsion of accessory spleen. Abdominal computed tomography angiography (CTA) demonstrated an ischemic giant accessory spleen with a twisted vascular pedicle. An emergency laparotomy was performed with resection of the infarcted accessory spleen. DISCUSSION: Accessory spleen is a rare and asymptomatic condition. Torsion of accessory spleen is also uncommon. Abdominal pain is the main symptom. CTA is effective in reaching a diagnosis. Definitive treatment of an acute abdomen due to accessory splenic torsion is emergency accessory splenectomy. CONCLUSION: Elective accessory splenectomy should be recommended for known giant accessory spleen to prevent complications in future. Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.
This article was published in Int J Surg Case Rep
and referenced in Journal of Clinical Case Reports