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Accessory spleen presenting as adnexal mass
G B Azar1, J T Awwad, I K Mufarrij
1Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Lebanon.
Acta Obstetricia Et Gynecologica Scandinavica
|October 1, 1993
Summary
Pelvic splenic ectopia, a rare condition, can mimic an adnexal mass. This case highlights the importance of considering ectopic spleen in gynecological diagnostics.
Area of Science:
- Reproductive Medicine
- Surgical Pathology
Background:
- Pelvic splenic ectopia is an exceptionally rare congenital anomaly.
- It is frequently asymptomatic and often discovered incidentally.
Observation:
- A middle-aged woman presented with a clinical presentation suggestive of an adnexal mass.
- Imaging studies were inconclusive, leading to intraoperative diagnosis.
Findings:
- Intraoperative findings revealed an ectopic spleen located in the pelvic cavity.
- Pathological examination confirmed the diagnosis of splenic tissue in an abnormal pelvic location.
Implications:
- This case underscores the necessity of including pelvic ectopic spleen in the differential diagnosis of adnexal masses.
- Awareness of this rare entity can prevent misdiagnosis and guide appropriate surgical management.