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Accessory spleen in the pelvis: A case report.
Mine Islimye Taskin1, Banu Guleç Baser1, Ertan Adali1
1Balıkesir University Medical Faculty, Department of Obstetrics and Gynecology, Balıkesir, Turkey.
International Journal of Surgery Case Reports
|May 19, 2015
Summary
Accessory spleen (AS) is a rare condition, typically found near the spleen. This case highlights an unusual pelvic AS presentation as an adnexal mass, emphasizing its consideration in differential diagnoses.
Area of Science:
- Reproductive Medicine
- Surgical Pathology
- Embryology
Background:
- Accessory spleen (AS) is a rare congenital anomaly.
- Typically located near the spleen or pancreatic tail, pelvic AS is exceptionally rare.
- AS forms from incomplete fusion of embryonic splenic masses.
Purpose of the Study:
- To report a rare case of accessory spleen presenting as a left adnexal mass.
- To discuss the diagnostic considerations for pelvic accessory spleen.
- To highlight the importance of including AS in the differential diagnosis of adnexal masses.
Main Methods:
- Case report of a middle-aged woman with a left adnexal mass.
- Diagnostic imaging included transvaginal ultrasonography and MRI.
- Surgical resection followed by histological examination confirmed splenic tissue.
Main Results:
- Histological examination confirmed the adnexal mass was splenic tissue.
- Imaging revealed a left adnexal mass consistent with AS.
- The patient's AS was an incidental finding.
Conclusions:
- Pelvic accessory spleen is a rare but important differential diagnosis for adnexal masses.
- AS is often an incidental finding during imaging or surgery.
- Differential diagnoses for adnexal masses include lymph nodes, fibroids, ovarian tumors, hematoma, and tubo-ovarian abscess.
