Infarcted accessory spleen masquerading as a mesenteric cyst | Zendy

Harsh Sheth | Zendy; Sadashiv N. Chaudhari | Zendy; Yash Sinha | Zendy; Ramlal Prajapati | Zendy

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Infarcted 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.

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