Accessory spleen in the pelvis: A case report. (2015)

• Record Type: Journal Article
• Authors: Taskin, Mine Islimye; Baser, Banu Guleç; Adali, Ertan; Bulbul, Erdoğan; Uzgoren, Engin
• Is Part Of: International journal of surgery case reports. Volume 12(2015)
• Page Start: 23
• Page End: 25
• Publication Date: 2015
• Subjects: Adnexal mass -- Accessory spleen -- Histopathology; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2015.05.009
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Ectopic splenic tissue can be either congenital (accessory spleen) or acquired (splenosis). Accessory spleen (AS) is commonly located near the spleen's hilum and in the pancreas tail. Pelvic AS is a very rare entity. AS is generally determined incidentally during radiological investigation or surgery. Pelvic AS may be considered in differential diagnosis of adnexal masses. Abstract: Introduction: Accessory Spleen (AS) is a very rare entity and usually near the spleen's hilum and in the tail of the pancreas. Pelvis reported as an atypical and a rare localization. AS may be formed during embryonic life, they rise from the left side of the dorsal mesogastrium as a result of imperfect fusion of separate splenic masses. Presentation of case: We report a case of an AS presenting as an left adnexal mass in a middle-aged woman. Transvaginal ultrasonography and magnetic resonance imaging (MRI) revealed a left adnexial mass. Laparatomy was performed, and histological examination revealed that resected mass was splenic tissue. Discussion: An AS is an incidental finding of no clinical significance in most patients. AS are generally determined during radiological investigations or during open or laparoscopic surgeries. When, the AS settle in the adnexal area; the differential diagnosis could include the causes of adnexal masses like enlarged lymph nodes, subserous fibroid, ovarian tumors, organized hematoma, tuboovarian abscess. Conclusion: Althought pelvic accessory spleen is a rare condition, should be considered in the differential diagnosis of adnexal masses.