A Case of Torsion of the Accessory Spleen Presenting as an Acute Abdomen in a Young Woman

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  • 急性腹症で発症した若年女性（23歳）の副脾茎捻転の1例
  • 症例 急性腹症で発症した若年女性(23歳)の副脾茎捻転の1例
  • ショウレイ キュウセイ フクショウ デ ハッショウ シタ ジャクネン ジョセイ(23サイ)ノ フクヒケイ ネンテン ノ 1レイ

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A 23-year-old woman was referred to our hospital because of suspected acute appendicitis. An enhanced CT scan revealed a solid tumor, 11 cm in diameter, without enhancement in the pelvis. Ultrasonography revealed a well-defined, homogeneous, solid tumor, 11 cm in diameter. The tumor was of equal intensity to muscle on T1-weighted MR imaging and low intensity on T2-weighted imaging.<BR>The patient was admitted for intensive examination and treatment. On the day after admission, the abdominal pain increased, and emergency surgery was performed. The preoperative diagnosis was a tumor of the mesentery. The tumor with two twisted vascular pedicles was in the pelvis and excised. On macroscopic examination, the tumor was 14 cm × 11 cm and red inside. Microscopically, it contained congestive splenic tissue. The final diagnosis was torsion of an accessory spleen.<BR>Torsion of an accessory spleen is rare, and this case is presented with a review of the literature.

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