WONDERING DOUBLE ACCESSARY SPLEEN-REPORT OF A RESECTED CASE-

Abstract

This paper describes a rare case of double accessary spleen locating in the fairly distant omentum and presenting with symptoms due to tortion of the pedicle, with a review of the literature. A 35-year-old woman was admitted to the hospital for close examination because she was pointed out having a tumor in the left flank at a medical checkup. Abdominal ultrasonography revealed a solid tumor in the left tail side of the kidney. Abdominal CT visualized posterior displacement of the descending colon by a homogenous solid tumor which originated from the inferior pole of the kidney. Angiography revealed a hypervascular tumor fed by the left gastroepiploic artery and another hypervascular multiple lesion with the size of 2 cm in diameter in the vicinity of the inferior pole of the spleen. Accessary slpeen was suspected, but a possibility of some malignant disease could not be ruled out. In addition the patient had intermittent attack of colicky abdominal pain, and then she was operated on. On laparotomy there were an accessary spleen 40 mm in diameter with pedicle 90 mm in length and another accessary spleen 21 mm in diameter with pedicle 25 mm in length which were connected to the gastroepiploic artery and vein. Both accessary spleens were excised at the each origin. Histologically both tumors were accessary spleen.