Open AccessInfarcted accessory spleen masquerading as a mesenteric cyst
Author(s) -
Harsh Sheth,
Sadashiv N. Chaudhari,
Yash Sinha,
Ramlal Prajapati
Publication year - 2018
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-226130
Subject(s) - medicine , asymptomatic , acute abdomen , accessory spleen , abdomen , histopathological examination , spleen , surgery , physical examination , abdominal pain , quadrant (abdomen) , cyst , acute abdominal pain , radiology , splenectomy , pathology
An accessory spleen is a rare entity which is usually asymptomatic. When symptomatic, it presents as an acute abdomen, with either torsion, rupture or haemorrhage. We present the case of a 20-year-old man who presented with chronic lower abdominal pain since 3 months and a lump in the left lower quadrant. On clinical examination and investigations, the lump was diagnosed as a mesenteric cyst, and an uncomplicated laparoscopic excision was performed. The postoperative histopathological examination reported it as an infarcted accessory spleen.