Related Experiment Video
Updated: May 3, 2026
Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
Torsion of a huge accessory spleen in a 20-year-old patient
Vyacheslav Bard1, Natalie Goldberg2, Hanoch Kashtan1
1Division of General Surgery, Rabin Medical Center, Campus Beilinson, Affiliated with Sackler Faculty of Medicine, Tel Aviv University, Israel.
Introduction:
Accessory spleen is a rare condition. Torsion of accessory spleen can lead to acute abdomen.
Presentation Of Case:
We describe a young woman with an acute abdomen caused by torsion of accessory spleen. Abdominal computed tomography angiography (CTA) demonstrated an ischemic giant accessory spleen with a twisted vascular pedicle. An emergency laparotomy was performed with resection of the infarcted accessory spleen.
Discussion:
Accessory spleen is a rare and asymptomatic condition. Torsion of accessory spleen is also uncommon. Abdominal pain is the main symptom. CTA is effective in reaching a diagnosis. Definitive treatment of an acute abdomen due to accessory splenic torsion is emergency accessory splenectomy.
Conclusion:
Elective accessory splenectomy should be recommended for known giant accessory spleen to prevent complications in future.
