Torsion of an Accessory Spleen Presenting as an Acute Abdomen: A Case Report
Journal of the Korean Society of Emergency Medicine
; : 300-303, 2004.
Article
de Ko
| WPRIM
| ID: wpr-113839
Bibliothèque responsable:
WPRO
ABSTRACT
An accessory spleen is often incidentally discovered in up to 20% of autopsies. However, it is exceedingly rare for this condition to result in an acute abdomen. In addition, torsion of an accessory spleen is extremely rare. In spite of this, the entity should be considered in the emergency department in the differential diagnosis of an acute abdomen associated with an intraperitoneal inflammatory mass. This report describes a case of acute torsion of an accessory spleen. A 26-year-old, previously health female was admitted to our hospital with severe abdominal pain and a palpable mass. Ultrasonography showed a well-defined ovoid, hypoechogenic, avascular mass. Computed tomography demonstrated a round, homogeneous hypodense mass with a whorling appearance and an engorged vascular structure in the left side of the mass. The presumptive diagnosis of a large exoenteric mass (small bowel or mesenteric origin) associated with mesenteric volvulus was made preoperatively. However, at laparotomy, the patient was found to have torsion and an infarction of an accessory spleen that had twisted on its long vascular pedicle.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Autopsie
/
Rate
/
Douleur abdominale
/
Échographie
/
Volvulus intestinal
/
Diagnostic
/
Diagnostic différentiel
/
Service hospitalier d'urgences
/
Abdomen aigu
/
Infarctus
Type d'étude:
Diagnostic_studies
Limites du sujet:
Adult
/
Female
/
Humans
langue:
Ko
Texte intégral:
Journal of the Korean Society of Emergency Medicine
Année:
2004
Type:
Article