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

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 wi...

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Main Authors: Hoyoung Wang, Hoonsub So, Yang Won Nah, Misung Kim, Tae Young Lee, Minjung Seo, Sung-Jo Bang
Format: Article
Language:English
Published: Jin Publishing & Printing Co. 2021-09-01
Series:The Korean Journal of Gastroenterology
Subjects:
Online Access:https://www.kjg.or.kr/journal/view.html?uid=5748&vmd=Full
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author Hoyoung Wang
Hoonsub So
Yang Won Nah
Misung Kim
Tae Young Lee
Minjung Seo
Sung-Jo Bang
author_facet Hoyoung Wang
Hoonsub So
Yang Won Nah
Misung Kim
Tae Young Lee
Minjung Seo
Sung-Jo Bang
author_sort Hoyoung Wang
collection DOAJ
description 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.
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spelling doaj.art-de969d9083a84d3393ab7272a8f315442022-12-22T03:18:26ZengJin Publishing & Printing Co.The Korean Journal of Gastroenterology1598-99922233-68692021-09-0178318318710.4166/kjg.2021.071Acute Abdominal Pain due to Accessory Splenic Infarction in an Adult: A Case ReportHoyoung Wang0Hoonsub So1https://orcid.org/0000-0001-8092-2811Yang Won Nah2 Misung Kim3Tae Young Lee4 Minjung Seo5Sung-Jo Bang6Departments of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaDepartments of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaDepartments of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaDepartments of Pathology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaDepartments of Radiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaDepartments of Nuclear Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaDepartments of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaAccessory 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.https://www.kjg.or.kr/journal/view.html?uid=5748&vmd=Fullabdominal painanatomic variationsplenic infarctionsplenectomy
spellingShingle Hoyoung Wang
Hoonsub So
Yang Won Nah
Misung Kim
Tae Young Lee
Minjung Seo
Sung-Jo Bang
Acute Abdominal Pain due to Accessory Splenic Infarction in an Adult: A Case Report
The Korean Journal of Gastroenterology
abdominal pain
anatomic variation
splenic infarction
splenectomy
title Acute Abdominal Pain due to Accessory Splenic Infarction in an Adult: A Case Report
title_full Acute Abdominal Pain due to Accessory Splenic Infarction in an Adult: A Case Report
title_fullStr Acute Abdominal Pain due to Accessory Splenic Infarction in an Adult: A Case Report
title_full_unstemmed Acute Abdominal Pain due to Accessory Splenic Infarction in an Adult: A Case Report
title_short Acute Abdominal Pain due to Accessory Splenic Infarction in an Adult: A Case Report
title_sort acute abdominal pain due to accessory splenic infarction in an adult a case report
topic abdominal pain
anatomic variation
splenic infarction
splenectomy
url https://www.kjg.or.kr/journal/view.html?uid=5748&vmd=Full
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AT misungkim acuteabdominalpainduetoaccessorysplenicinfarctioninanadultacasereport
AT taeyounglee acuteabdominalpainduetoaccessorysplenicinfarctioninanadultacasereport
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