International journal of surgery case reports · 2013
Torsion of a huge accessory spleen in a 20-year-old patient.
СтатьяНазвание и аннотация: Перевод в очереди
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Bard Vyacheslav, Goldberg Natalie, Kashtan Hanoch
Аннотация
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.
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.