medigraphic.com
ISSN 1665-2576 (Print)

2024, Number 1-4

<< Back Next >>

Rev Mex Cir Endoscop 2024; 25 (1-4)

Bowel obstruction due to accessory spleen. Case report

Zerón-Pontones P, López-Ramírez MA

Language: Spanish
References: 9
Page: 10-13
PDF size: 251.10 Kb.


ABSTRACT

Introduction: an accessory spleen is a rare entity resulting from a failure in the fusion of the splenic buds. The size is variable with an indolent asymptomatic course, however, it can generate symptoms secondary to twisting, rupture, hemorrhage or simulating neoplasms. Clinical case: the case of a 43-year-old female patient with bowel obstruction secondary to a mass in the right iliac fossa managed by a laparoscopic approach is presented, performing a right hemicolectomy with terminal ileostomy. The histopathological results demonstrated an accessory spleen with marked congestion. Conclusions: accessory spleen is a rare entity, generally with an indolent course. Although it is not a common cause of intestinal obstruction, it is important to know it for an adequate management.


REFERENCES

  1. Feng Y, Shi Y, Wang B, Li J, Ma D, Wang S et al. Multiple pelvic accessory spleen: rare case report with review of literature. Exp Ther Med. 2018; 15: 4001-4004.

  2. Tendler R, Farah RK, Kais M, Odeh M, Bornstein J. Symptomatic pelvic accessory spleen in a female adolescent: case report. J Clin Ultrasound. 2017; 45: 600-602.

  3. Varga I, Babala J, Kachlik D. Anatomic variations of the spleen: current state of terminology, classification, and embryological background. Surg Radiol Anat. 2018; 40: 21-29.

  4. Ren C, Liu Y, Cao R, Zhao T, Chen D, Yao L et al. Colonic obstruction caused by accessory spleen torsion. Medicine. 2017; 96: e8116.

  5. Maharaj R, Ramcharan W, Maharaj P, Greaves W, Warner WA. Right sided spleen laying retro-duodenal: A case report and review of the literature. Int J Surg Case Rep. 2016; 24: 37-42.

  6. Denkler CS, Rodgers A, Emery EL, Collins DT, Liu C, Fennessy T et al. Clinical factors associated with success in applying laparoscopy in the management of small bowel obstruction at a tertiary care center. Surg Endosc. 2020; 34: 3021-3026.

  7. Behman R, Nathens AB, Karanicolas PJ. Laparoscopic surgery for small bowel obstruction. Adv Surg. 2018; 52: 15-27.

  8. Impellizzeri P, Montalto AS, Borruto FA, Antonuccio P, Scalfari G, Arena F et al. Accessory spleen torsion: rare cause of acute abdomen in children and review of literature. J Pediatr Surg. 2009; 44: e15-18.

  9. Wang Z, Zhao Q, Huang Y, Mo Z, Tian Z, Yang F et al. Wandering spleen with splenic torsion in a toddler. Medicine. 2020; 99: e22063.




2020     |     www.medigraphic.com