AI Article Synopsis
- Accessory Spleen (AS) is a rare anatomical variant typically found near the spleen or pancreas, sometimes occurring in atypical locations like the pelvis due to embryonic developmental issues.
- A case study details a middle-aged woman whose AS was misidentified as a left adnexal mass during imaging, but was confirmed as splenic tissue after surgical removal.
- Although generally clinically insignificant, AS should be included in differential diagnoses for adnexal masses, which can mimic other conditions like ovarian tumors or enlarged lymph nodes.
Article 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.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4485692 | PMC |
| http://dx.doi.org/10.1016/j.ijscr.2015.05.009 | DOI Listing |
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