Radiologic Findings of Single Accessory Splenic Infarction in a Patient with Accessory Spleens in the Abdominal Cavity: A Case Report
The presence of multiple accessory spleens in the abdominal cavity is typically limited to two, with cases involving a higher number being exceedingly rare. Concurrently, accessory spleen infarction is remarkably uncommon, primarily resulting from torsion of the vascular pedicle. In this report, we...
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| Format: | Article |
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MDPI AG
2023-04-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/4/807 |
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| author | Nan Xu Yingchen Xu Qiang Zhu |
| author_facet | Nan Xu Yingchen Xu Qiang Zhu |
| author_sort | Nan Xu |
| collection | DOAJ |
| description | The presence of multiple accessory spleens in the abdominal cavity is typically limited to two, with cases involving a higher number being exceedingly rare. Concurrently, accessory spleen infarction is remarkably uncommon, primarily resulting from torsion of the vascular pedicle. In this report, we present a case of a 19-year-old male who experienced infarction in one of four accessory spleens. Imaging diagnosis proved challenging, with the definitive diagnosis being made through postoperative pathology, revealing no torsion in the affected accessory spleen. Following surgery combined with anti-inflammatory and analgesic treatment, the patient exhibited an uneventful recovery. No complications were observed at the 3-month follow-up. This case indicates the challenge and difficulty of diagnosing accessory splenic infarction without torsion in imaging diagnosis. Employing a multimodality approach and diffusion-weighted imaging may aid in confirming the diagnosis. |
| first_indexed | 2024-03-11T04:46:13Z |
| format | Article |
| id | doaj.art-f748bdaf431946b5be2a59b68c253f2d |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-11T04:46:13Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
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| series | Medicina |
| spelling | doaj.art-f748bdaf431946b5be2a59b68c253f2d2023-11-17T20:22:23ZengMDPI AGMedicina1010-660X1648-91442023-04-0159480710.3390/medicina59040807Radiologic Findings of Single Accessory Splenic Infarction in a Patient with Accessory Spleens in the Abdominal Cavity: A Case ReportNan Xu0Yingchen Xu1Qiang Zhu2Department of Ultrasonography, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, ChinaDepartment of General Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, ChinaDepartment of Ultrasonography, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, ChinaThe presence of multiple accessory spleens in the abdominal cavity is typically limited to two, with cases involving a higher number being exceedingly rare. Concurrently, accessory spleen infarction is remarkably uncommon, primarily resulting from torsion of the vascular pedicle. In this report, we present a case of a 19-year-old male who experienced infarction in one of four accessory spleens. Imaging diagnosis proved challenging, with the definitive diagnosis being made through postoperative pathology, revealing no torsion in the affected accessory spleen. Following surgery combined with anti-inflammatory and analgesic treatment, the patient exhibited an uneventful recovery. No complications were observed at the 3-month follow-up. This case indicates the challenge and difficulty of diagnosing accessory splenic infarction without torsion in imaging diagnosis. Employing a multimodality approach and diffusion-weighted imaging may aid in confirming the diagnosis.https://www.mdpi.com/1648-9144/59/4/807accessory spleeninfarctionultrasoundcomputed tomographymagnetic resonance imaging |
| spellingShingle | Nan Xu Yingchen Xu Qiang Zhu Radiologic Findings of Single Accessory Splenic Infarction in a Patient with Accessory Spleens in the Abdominal Cavity: A Case Report Medicina accessory spleen infarction ultrasound computed tomography magnetic resonance imaging |
| title | Radiologic Findings of Single Accessory Splenic Infarction in a Patient with Accessory Spleens in the Abdominal Cavity: A Case Report |
| title_full | Radiologic Findings of Single Accessory Splenic Infarction in a Patient with Accessory Spleens in the Abdominal Cavity: A Case Report |
| title_fullStr | Radiologic Findings of Single Accessory Splenic Infarction in a Patient with Accessory Spleens in the Abdominal Cavity: A Case Report |
| title_full_unstemmed | Radiologic Findings of Single Accessory Splenic Infarction in a Patient with Accessory Spleens in the Abdominal Cavity: A Case Report |
| title_short | Radiologic Findings of Single Accessory Splenic Infarction in a Patient with Accessory Spleens in the Abdominal Cavity: A Case Report |
| title_sort | radiologic findings of single accessory splenic infarction in a patient with accessory spleens in the abdominal cavity a case report |
| topic | accessory spleen infarction ultrasound computed tomography magnetic resonance imaging |
| url | https://www.mdpi.com/1648-9144/59/4/807 |
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