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

Feng,Yourong; Shi,Yanyan; Wang,Bo; Li,Jing; Ma,Ding; Wang,Shixuan; Wu,Mingfu

doi:10.3892/etm.2018.5903

April-2018 Volume 15 Issue 4

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April-2018 Volume 15 Issue 4

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Case Report

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

Authors:
- Yourong Feng
- Yanyan Shi
- Bo Wang
- Jing Li
- Ding Ma
- Shixuan Wang
- Mingfu Wu
View Affiliations / Copyright

Affiliations: Department of Gynaecology, Cancer Biology Research Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China, Department of Anesthesiology, Wuhan Pu'ai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China
Pages: 4001-4004
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Published online on: February 28, 2018

https://doi.org/10.3892/etm.2018.5903
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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.

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1	Dodds WJ, Taylor AJ, Erickson SJ, Stewart ET and Lawson TL: Radiologic imaging of splenic anomalies. AJR Am J Roentgenol. 155:805–810. 1990. View Article : Google Scholar : PubMed/NCBI
2	Zhou JS, Chen X, Zhu T, Ding GJ and Zhang P: Pelvic accessory spleen caused dysmenorrhea. Taiwan J Obstet Gynecol. 54:445–446. 2015. View Article : Google Scholar : PubMed/NCBI
3	Halpert B and Gyorkey F: Lesions observed in accessory spleens of 311 patients. Am J Clin Pathol. 32:165–168. 1959. View Article : Google Scholar : PubMed/NCBI
4	Hsiao SM, Lee LC and Chang MH: Large pelvic accessory spleen mimicking an adnexal malignancy in a teenage girl. J Formos Med Assoc. 100:565–567. 2001.PubMed/NCBI
5	Taskin MI, Baser BG, Adali E, Bulbul E and Uzgoren E: Accessory spleen in the pelvis: A case report. Int J Surg Case Rep. 12:23–25. 2015. View Article : Google Scholar : PubMed/NCBI
6	Perin A, Cola R and Favretti F: Accessory wandering spleen: Report of a case of laparoscopic approach in an asymptomatic patient. Int J Surg Case Rep. 5:887–889. 2014. View Article : Google Scholar : PubMed/NCBI
7	Vural M, Kacar S, Koşar U and Altin L: Symptomatic wandering accessory spleen in the pelvis: Sonographic findings. J Clin Ultrasound. 27:534–536. 1999. View Article : Google Scholar : PubMed/NCBI
8	Tendler R, Farah RK, Kais M, Odeh M and Bornstein J: Symptomatic pelvic accessory spleen in a female adolescent: Case report. J Clin Ultrasound. 45:600–602. 2017. View Article : Google Scholar : PubMed/NCBI
9	Iorio F, Frantellizzi V, Drudi FM, Maghella F and Liberatore M: Locally vascularized pelvic accessory spleen. J Ultrasound. 19:141–144. 2015. View Article : Google Scholar : PubMed/NCBI
10	Tu C, Lin Q, Zhu J, Shao C, Zhang K, Jiang C, Ding Z, Zhou X, Tu J, Zhu W and Chen W: Isolated sarcoidosis of accessory spleen in the greater omentum: A case report. Exp Ther Med. 11:2379–2384. 2016. View Article : Google Scholar : PubMed/NCBI
11	Unver Dogan N, Uysal II, Demirci S, Dogan KH and Kolcu G: Accessory spleens at autopsy. Clin Anat. 24:757–762. 2011. View Article : Google Scholar
12	Wood TW and Mangelson N: Urological accessory splenic tissue. J Urol. 137:1219–1220. 1987. View Article : Google Scholar : PubMed/NCBI
13	Obuchi T, Takagane A, Sato K, Yonezawa H, Funato O and Kobayashi M: Single-incision laparoscopic excision of symptomatic accessory spleen in the pelvis: An initial report. J Minim Access Surg. 13:321–322. 2017. View Article : Google Scholar : PubMed/NCBI
14	Ota H, Ojima Y, Sumitani D and Okajima M: Dynamic computed tomography findings of an accessory spleen in the pelvis: A case report. Surg Case Rep. 2:232016. View Article : Google Scholar : PubMed/NCBI
15	Cowles RA and Lazar EL: Symptomatic pelvic accessory spleen. Am J Surg. 194:225–226. 2007. View Article : Google Scholar : PubMed/NCBI
16	d'Halluin G, Menard J, Dessard P, Dauphin H, Deshayes M, Pierre F and Magnin G: Torsion of the accessory spleen: An atypical etiology for acute abdomen. Gynecol Obstet Fertil. 29:821–823. 2001.(In French). PubMed/NCBI
17	Nishiguchi S, Habu D, Ishizu H, Iwata Y, Tatsumi N, Enomoto M, Minamitani S, Fukuda K, Tamori A, Takeda T, et al: Accessory spleen in the pelvis diagnosed by Tc-99m phytate scintigraphy. Ann Nucl Med. 15:263–265. 2001. View Article : Google Scholar : PubMed/NCBI
18	Azar GB, Awwad JT and Mufarrij IK: Accessory spleen presenting as adnexal mass. Acta Obstet Gynecol Scand. 72:587–588. 1993. View Article : Google Scholar : PubMed/NCBI
19	Chen JS, Lin CL, Tsai CC, Lee KT, Ker CG and Sheen PC: Giant ectopic pelvic spleen: Report of a case and review of the literature. Gaoxiong Yi Xue Ke Xue Za Zhi. 9:54–60. 1993.PubMed/NCBI

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

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

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Abstract

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