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Updated: Jun 3, 2025
02:09
Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
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Accessory splenic infarction presenting as acute abdominal pain: A case report
Dana Awad1, Danielle Abou Khater1, Peter Habchy2
1Emergency Medicine Department, Lebanese American University Medical Center, Beirut, Lebanon.
International Journal of Surgery Case Reports
|January 7, 2025
Summary
Accessory spleen infarction, though rare, can cause acute abdominal pain. This case highlights the importance of considering this diagnosis in emergency evaluations.
Area of Science:
- Anatomical Pathology
- Vascular Surgery
Background:
- Accessory spleens are common ectopic splenic tissue variants.
- Typically asymptomatic, they can become clinically significant when complicated by infarction, rupture, or torsion.
Observation:
- A 36-year-old female presented with diffuse abdominal pain.
- Computed tomography revealed a partially ruptured accessory spleen due to venous infarct.
Findings:
- Accessory spleen infarction can manifest with vague symptoms like abdominal pain, nausea, or vomiting.
- Potential triggers include hematologic, embolic, vascular disorders, trauma, and oral contraceptive use.
- Diagnosis often relies on CT imaging.
Implications:
- Accessory spleen infarction is a rare but critical diagnosis in acute abdominal pain presentations.
- Management ranges from conservative supportive care to surgical intervention.
- Early consideration aids in timely and appropriate patient management.
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