Acute Abdominal Pain due to Accessory Splenic Infarction in an Adult: A Case Report

Author: Hoyoung WANG ¹ ; Hoonsub SO ; Yang Won NAH ; Misung KIM ; Tae Young LEE ; Minjung SEO ; Sung-Jo BANG
Author Information

1. Departments of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
Publication Type:CASE REPORT
From:The Korean Journal of Gastroenterology 2021;78(3):183-187
CountryRepublic of Korea
Language:English
Abstract: Accessory spleens are common congenital anatomic variations that are usually asymptomatic. On the other hand, they can be clinically significant if complicated by hemorrhage, torsion, or infarction. This paper describes a case of an infarcted accessory spleen in a 30-year-old male who presented with abdominal pain. Abdominal CT and MRI revealed an isolated mass, 4.5 cm in size, in the perisplenic area. An infarcted accessory spleen was suspected. The patient underwent laparoscopic accessory splenectomy. Histopathology identified the mass as splenic tissue that had undergone ischemic necrosis. A definitive diagnosis of an infarcted accessory spleen was made, and the patient was discharged on day 5 after surgery symptom-free.