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Ectopic pelvic spleen.

P M Hatfield, M E Clouse, B Cady

Archives of Surgery (Chicago, Ill. : 1960)

|May 1, 1976

Summary

This summary is machine-generated.

This report details the first documented case of an ectopic pelvic spleen, diagnosed using liver-spleen scans and splenic arteriography. Surgical removal (splenectomy) successfully relieved symptoms in a 19-year-old woman.

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Area of Science:

Medical Imaging
Surgical Pathology
Congenital Abnormalities

Background:

Ectopic spleen, a rare congenital anomaly, occurs when the spleen is not in its normal anatomical position.
Congenital splenic descensus is often attributed to developmental defects in supporting ligaments.

Observation:

A 19-year-old woman presented with lower abdominal pain, exacerbated by physical activity.
Preoperative diagnosis of pelvic spleen was confirmed via liver-spleen scintigraphy and selective splenic arteriography.
This represents the first reported case of preoperatively diagnosed ectopic pelvic spleen.

Findings:

Splenectomy was performed, leading to complete resolution of the patient's symptoms.
The condition is believed to result from laxity or underdevelopment of the phrenicosplenic and gastrosplenic ligaments.

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Past surgical recommendations like splenopexy are deemed inappropriate for this condition.

Implications:

Highlights the importance of advanced imaging in diagnosing rare congenital anomalies.
Splenectomy is presented as the definitive treatment for symptomatic ectopic pelvic spleen.
Contributes to understanding the embryological basis of splenic position and associated pathologies.