Multiple pelvic accessory spleen: Rare case report with review of literature

Abstract

Abstract. Accessory spleen (AS) usually presents as an isolated asymptomatic mass of splenic tissue separated from the body of the actual spleen. Multiple pelvic ASs are more unusual than single pelvic AS. The present study reported on the rare case of multiple pelvic AS. A 39-year-old Chinese woman presented at our hospital with complaints of abdominal pain for one week. A large pelvic mass behind the uterus was identified on ultrasound examination. Multiple AS in the pelvis was primarily considered during the operation and confirmed by histopathological examination after the surgery. The literature in English language was also reviewed by retrieving studies on AS published over the past 30 years, and it was discussed how to diagnose and treat pelvic AS. In conclusion, to the best of our knowledge, the present study provided the first case report of multiple pelvic AS. The gynecologist should be aware of the rare possibility of an AS in patients with abdominal and pelvic complaints and/or a pelvic mass. Pelvic AS is generally determined during radiological investigations or during open or laparoscopic surgeries.

Retrospective radiologic analysis of accessory spleen by computed tomography

“…The most common locations in the literature were splenic hilum (75%) and tail of pancreas (20%). [22] In the present study, 49.09% of the accessory spleens were in hilum. The most common location indicated in the present study is consistent with the previously published data.…”

“…The youngest case reported in the literature was 17 and the oldest 67 years old. [22] The youngest case observed in the present study was 19 years old, while the oldest was 90. The most common locations in the literature were splenic hilum (75%) and tail of pancreas (20%).…”