NDLI: Unveiling three accessory spleens in one patient: a rare case report and literature review

Content Provider	Springer Nature : BioMed Central
Author	Hanifa, Hamdah Alhussein, Hussein Mahmandar, Lissa Kadi, Sara Najjar, Mahfoud Alhaj, Ahmad
Abstract	Background During embryogenesis, the spleen undergoes intricate developmental processes, originating from mesenchymal cells in the dorsal mesentery. An accessory spleen, a common anomaly found in autopsies and abdominal CT scans, can often be mistaken for different types of tumors. To the best of our knowledge, this is the first case in Syria documenting the occurrence of 3 accessory spleens in a patient who had previously undergone splenectomy. Case presentation A 33-year-old male presented with right hypochondrium pain, sharp and radiating to the right flank, exacerbated by movement and large meals. Past medical history included mild Irritable Bowel Syndrome (IBS) and splenectomy due to a traumatic accident in childhood. On admission, vital signs were stable, with abdominal tenderness in the right upper quadrant. Laboratory investigations showed normal values. Ultrasound revealed a lobulated mass at the right adrenal gland (4.5 × 5 cm) with an isoechoic to hypoechoic texture. Multi-slice computed tomography (MSCT) Scan showed multiple nodules in the right adrenal gland, regular in shape, exerting a compressive mass effect, and significant lymphadenopathy around the abdominal aorta. Elevated metanephrine levels raised suspicion of an extra-adrenal pheochromocytoma. Laparoscopic surgery was performed, revealing accessory spleens and normal adrenal tissue with no malignancy. Conclusion Healthcare providers should consider accessory spleens as a differential diagnosis for masses near the adrenal glands. Multiple accessory spleens in the adrenal region can complicate cases. Accessory spleens in uncommon locations like the adrenal glands can be challenging to diagnose and manage.
Related Links	https://intjem.biomedcentral.com/counter/pdf/10.1186/s12245-024-00758-3.pdf
Ending Page	6
Page Count	6
Starting Page	1
File Format	HTM / HTML
ISSN	18651380
DOI	10.1186/s12245-024-00758-3
Journal	International Journal of Emergency Medicine
Issue Number	1
Volume Number	17
Language	English
Publisher	BioMed Central
Publisher Date	2024-11-12
Access Restriction	Open
Subject Keyword	Emergency Medicine Internal Medicine Cardiology Angiology Pediatrics Accessory spleen Case report Misdiagnosis Splenosis Pheochromocytoma Adrenal tumour
Content Type	Text
Resource Type	Case study
Subject	Emergency Medicine

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

From thrombosis to tamponade: unveiling severe pericardial effusion in a misdiagnosis case

Case report: Misdiagnosis of accessory spleen in the left adrenal region as an adrenal tumour after splenectomy

Accessory Spleen Mimicking an Intrahepatic Neoplasm: A Rare Case Report.

An extremely rare case of an oversized accessory spleen: case report and review of the literature

Traumatic facial arteriovenous fistula: a rare case report and literature review

Congenital intrathoracic accessory spleen is a very rare trick of nature: a case report

Stroke in a patient of anaphylaxis—a case report and brief review

Persistent hiccups as a rare presenting symptom of empyema: a case report

Unusual presentation of a patient with partial anomalous pulmonary venous connections without a septal defect: a case report and literature review

Unveiling three accessory spleens in one patient: a rare case report and literature review

Similar Documents

From thrombosis to tamponade: unveiling severe pericardial effusion in a misdiagnosis case

Case report: Misdiagnosis of accessory spleen in the left adrenal region as an adrenal tumour after splenectomy

Accessory Spleen Mimicking an Intrahepatic Neoplasm: A Rare Case Report.

An extremely rare case of an oversized accessory spleen: case report and review of the literature

Traumatic facial arteriovenous fistula: a rare case report and literature review

Congenital intrathoracic accessory spleen is a very rare trick of nature: a case report

Stroke in a patient of anaphylaxis—a case report and brief review

Persistent hiccups as a rare presenting symptom of empyema: a case report

Unusual presentation of a patient with partial anomalous pulmonary venous connections without a septal defect: a case report and literature review

Unveiling three accessory spleens in one patient: a rare case report and literature review