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Symptomatic wandering accessory spleen in the pelvis: Sonographic findings
Author(s) -
Vural Murat,
Kacar Sabite,
Koşar Uğur,
Altin Levent
Publication year - 1999
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/(sici)1097-0096(199911/12)27:9<534::aid-jcu8>3.0.co;2-x
Subject(s) - medicine , wandering spleen , accessory spleen , pelvis , spleen , anatomy , radiology , color doppler , ultrasonography , splenectomy
We describe the case of a mobile left lower quadrant mass associated with recurrent abdominal pain; at surgical exploration, the mass was found to be an accessory pelvic spleen. Although accessory spleens are present in 10–30% of individuals, a wandering accessory spleen located in the pelvis is not frequently seen. On sonography, the mass in our patient appeared well‐defined and homogeneous. Spectral analysis and color Doppler imaging demonstrated a normal vascular branching pattern and high diastolic flow due to low resistance in the vascular bed. The parenchymal resistance index of the mass was similar to that of the native spleen. © 1999 John Wiley & Sons, Inc. J Clin Ultrasound 27:534–536, 1999.