Splenunculus mimicking splenomegaly in a patient with synchronous herpes simplex 1 viremia and myelosuppression. Issue 11 (20th November 2022)

• Record Type: Journal Article
• Authors: Paul, Dion A.; La, Paul Bao Duy; Abasszade, Joshua Haron
• Is Part Of: Clinical case reports. Volume 10:Issue 11(2022)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2022-11-20
• Subjects: case report -- methotrexate toxicity -- myelosuppression -- splenomegaly -- splenunculus -- viremia; Medicine -- Periodicals; 616.09
• DOI: 10.1002/ccr3.6616
• Languages: English
• ISSNs: 2050-0904

Abstract

Abstract: Splenunculus, or congenital accessory spleen, is a benign anatomical variation, and is rarely of clinical consideration in routine clinical practice. We describe a patient who presented with synchronous herpes simplex 1 viraemia and myelosuppression, with a splenunculus mimicking splenomegaly, and we discuss the implications on clinical practice, investigations, and management. Abstract : Splenunculi are asymptomatic and often incidental findings on imaging. Usually, splenunculi do not present as a left upper quadrant mass on clinical examination. This highlights the importance of our case as a teaching tool for clinicians that a splenunculus should be considered as a differential for splenomegaly in immunocompromised patients.