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Rare disease
CASE REPORT
Infarcted accessory spleen masquerading as a mesenteric cyst
  1. Harsh Sheth,
  2. Sadashiv Chaudhari,
  3. Yash Sinha,
  4. Ramlal Prajapati
  1. General Surgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharshtra, India
  1. Correspondence to Dr Harsh Sheth, harsh86sheth{at}gmail.com

Summary

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.

  • small intestine
  • endoscopy
  • vascular surgery
  • general surgery
  • gastrointestinal surgery

https://doi.org/10.1136/bcr-2018-226130

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    Footnotes

    • Contributors HS contributed to planning and surgical management of the patient, procurement of necessary material for the manuscript and drafting the manuscript. SC contributed to planning and surgical management of the patient and drafting of the manuscript. YS contributed to planning and surgical management of the patient, procurement of necessary material for the manuscript and drafting of the manuscript. RP contributed to planning and surgical management of the patient and drafting of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.