Accessory spleen appearing as an intrasplenic pseudo-tumoral mass: A rare case report
- Authors:
- Yan‑Feng Lü
- Bing‑Bing Han
- Hua‑Long Yu
- Zhen‑Hua Cui
- Zhi‑Wen Li
- Jian‑Xin Wang
View Affiliations
Affiliations: Department of Anoproctology, The Second Hospital of Shandong University, Jinan, Shandong 250033, P.R. China, Microcirculation Laboratory, Shangdong University of Traditional Chinese Medicine, Jinan, Shandong 250014, P.R. China
- Published online on: June 5, 2015 https://doi.org/10.3892/ol.2015.3331
-
Pages:
982-984
Metrics: Total
Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
This article is mentioned in:
Abstract
The current study presents a rare case of an accessory spleen that manifested as a solid intrasplenic pseudotumor. The affected patient was previously healthy. Upon examination with computed tomography (CT), an ovoid, soft‑tissue mass of ~4.1 cm in diameter was found on the upper pole of the spleen. Biochemical indices, such as blood routine and coagulation tests, and tumor marker analysis, revealed no abnormalities. Another CT scan was performed, but this failed to indicate whether the mass was benign or malignant. Therefore, the lesion was resected along with the spleen by laparoscopic surgery. The resected sample was subject to pathological examinations for final validation, and was finally diagnosed as an accessory spleen. The patient was followed up for six months with no signs of recurrence.
View References
|
1
|
Grinbaum R, Zamir O, Fields S and Hiller
N: Torsion of an accessory spleen. Abdom Imaging. 31:110–112. 2006.
View Article : Google Scholar : PubMed/NCBI
|
|
2
|
Seo T, Ito T, Watanabe Y and Umeda T:
Torsion of an accessory spleen presenting as an acute abdomen with
an inflammatory mass. US, CT and MRI findings. Pediatr Radiol.
24:532–534. 1994. View Article : Google Scholar : PubMed/NCBI
|
|
3
|
Babcock TL, Coker DD, Haynes JL and
Conklin HB: Infarction of an accessory spleen causing an acute
abdomen. Am J Surg. 127:336–337. 1974. View Article : Google Scholar : PubMed/NCBI
|
|
4
|
Uchima S, Chijuwa K, Hiyoshi M, et al:
Intrapancreatic accessory spleen mimicking endocrine tumor of the
pancreas: Case report and review of the literature. J Gastrointest
Surg. 12:1471–1473. 2008. View Article : Google Scholar : PubMed/NCBI
|
|
5
|
Dodds WJ, Taylor AJ, Erickson SJ, Stewart
ET and Lawson TL: Radiologic imaging of splenic anomalies. AJR Am J
Roentgenol. 155:805–810. 1990. View Article : Google Scholar : PubMed/NCBI
|
|
6
|
Mortelé KJ, Mortelé B and Silverman SG: CT
features of the accessory spleen. AJR Am J Roentgenol.
183:1653–1657. 2004. View Article : Google Scholar : PubMed/NCBI
|
|
7
|
Coote JM, Eyers PS, Walker A and Wells IP:
Intra-abdominal bleeding caused by spontaneous rupture of an
accessory spleen: the CT findings. Clin Radiol. 54:689–691. 1999.
View Article : Google Scholar : PubMed/NCBI
|
|
8
|
Valls C, Monés L, Gumà A and López-Calonge
E: Torsion of a wandering accessory spleen: CT findings. Abdom
Imaging. 23:194–195. 1998. View Article : Google Scholar : PubMed/NCBI
|
|
9
|
Pérez Fontán FJ, Soler R, Santos M and
Facio I: Accessory spleen torsion: US, CT and MR findings. Eur
Radiol. 11:509–512. 2001. View Article : Google Scholar : PubMed/NCBI
|
|
10
|
Phom H, Kumar A, Tripathi M, Chandrashekar
N, Choudhry VP, Malhotra A and Bal CS: Comparative evaluation of
Tc-99m-heat-denatured RBC and Tc-99m-anti-D IgG opsonized RBC
spleen planar and SPECT scintigraphy in the detection of accessory
spleen in postsplenectomy patients with chronic idiopathic
thrombocytopenic purpura. Clin Nucl Med. 29:403–409. 2004.
View Article : Google Scholar : PubMed/NCBI
|
