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Accessory spleen torsion: US, CT and MR findings
F J Pérez Fontán1, R Soler, M Santos
1Department of Radiology, Hospital Juan Canalejo, Xubias de Arriba, La Coruña, Spain.
European Radiology
|April 6, 2001
Summary
Torsion of an accessory spleen is a rare cause of abdominal pain, presenting as an avascular mass. This case highlights imaging findings in a pediatric patient with this unusual condition.
Area of Science:
- Pediatric Surgery
- Abdominal Imaging
- Surgical Pathology
Background:
- Accessory spleens are congenital anomalies, typically asymptomatic.
- Torsion of an accessory spleen is an exceedingly rare complication.
Observation:
- A 13-year-old boy presented with acute abdominal pain.
- Imaging revealed a large, avascular mass in the upper left abdomen.
Findings:
- The mass was diagnosed as a torsed and infarcted accessory spleen.
- Ultrasound (US), computed tomography (CT), and magnetic resonance (MR) imaging were utilized.
Implications:
- This case underscores the importance of considering accessory spleen torsion in the differential diagnosis of pediatric abdominal masses.
- Accurate imaging is crucial for prompt diagnosis and management.