IJAR.2020.245
Type of Article: Case Report
Volume 9; Issue 1 (January 2021)
Page No.: 7861-7864
DOI: https://dx.doi.org/10.16965/ijar.2020.245
Splenunculus can mimic acute abdomen: Its clinical and surgical relevance
Arundhati Kar 1, Praveen Kumar Ravi 1, Swagatika Samal 2, Manisha R Gaikwad *1.
1 Department of Anatomy, 2 Department of Pathology.
All India Institute of Medical Sciences, Bhubaneswar, Odisha- 751019. India.
Address for correspondence: Dr Manisha R Gaikwad, Department of Anatomy, All India Institute of Medical Sciences, Bhubaneswar, Odisha- 751019. India. Tel: +91 9438884040 E-Mail: anat_manisha@aiimsbhubaneswar.edu.in
ABSTRACT
Congenital accessory spleen or splenunculi is a small mass of splenic tissue that failed to fuse with the primary spleen during embryogenesis. The overall prevalence of splenunculus in 14.5% in the literature. Splenunculus is usually asymptomatic in most of the individuals and diagnosed incidentally during the abdominal imaging, laparotomy or necropsy. Rarely it might present as an acute abdomen in case of torsion or infract. Few cases of malignant changes in the accessory spleen are also reported. Surgeons need to be aware of such small masses of splenic tissue during splenectomy, if they are left unnoticed after total splenectomy, it may lead to the recurrence of hematological disorders. In the present case report, the authors described an isolated, solitary splenunculus in a 55 years old male cadaver found during dissection.
Key Words: Accessory spleen, Splenunculi, Splenectomy, Splenosis, Torsion.
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