Display options
Cite
Maharaj R, Ramcharan W, Maharaj P, et al. Right sided spleen laying retro-duodenal: A case report and review of the literature. Int J Surg Case Rep. 2016;24:37-42doi: 10.1016/j.ijscr.2016.04.050.
Maharaj, R., Ramcharan, W., Maharaj, P., Greaves, W., & Warner, W. A. (2016). Right sided spleen laying retro-duodenal: A case report and review of the literature. International journal of surgery case reports, 2437-42. https://doi.org/10.1016/j.ijscr.2016.04.050
Maharaj, Ravi, et al. "Right sided spleen laying retro-duodenal: A case report and review of the literature." International journal of surgery case reports vol. 24 (2016): 37-42. doi: https://doi.org/10.1016/j.ijscr.2016.04.050
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. doi: 10.1016/j.ijscr.2016.04.050. Epub 2016 May 06. PMID: 27179335; PMCID: PMC4872470.
Copy Download .nbib Format: NLM
Share it on

Int J Surg Case Rep. 2016;24:37-42. doi: 10.1016/j.ijscr.2016.04.050. Epub 2016 May 06.

Right sided spleen laying retro-duodenal: A case report and review of the literature.

International journal of surgery case reports

Ravi Maharaj, Wesley Ramcharan, Paramanand Maharaj, Wesley Greaves, Wayne A Warner

Affiliations

  1. Department of Clinical Surgical Sciences, University of the West Indies, Eric Williams Medical Sciences Complex, Champ Fleurs, Trinidad and Tobago. Electronic address: [email protected].
  2. Department of Clinical Surgical Sciences, University of the West Indies, Eric Williams Medical Sciences Complex, Champ Fleurs, Trinidad and Tobago. Electronic address: [email protected].
  3. Department of Clinical Surgical Sciences, University of the West Indies, Eric Williams Medical Sciences Complex, Champ Fleurs, Trinidad and Tobago. Electronic address: [email protected].
  4. Department of Clinical Surgical Sciences, University of the West Indies, Eric Williams Medical Sciences Complex, Champ Fleurs, Trinidad and Tobago. Electronic address: [email protected].
  5. Division of Oncology, Siteman Cancer Center, Department of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110, USA. Electronic address: [email protected].

PMID: 27179335 PMCID: PMC4872470 DOI: 10.1016/j.ijscr.2016.04.050

Abstract

INTRODUCTION: Unlike left sided accessory spleen that are seen in 10-30% of cases at autopsy, cases of right accessory spleens are extremely rare. This congenital body of healthy splenic tissue simulates tumors from neighboring organs and presents a challenge in formulating a differential diagnosis.

PRESENTATION OF CASE: We present the case of a patient whose CT scan of the abdomen showed a large mass, 11×8cm, arising retro-duodenal and lying just anterior to the right kidney. To the best of our knowledge, this is the only case where the accessory spleen was found retro-duodenal, directly anterior to the kidney and completely separate from the supra-renal gland. The chief complaint of the patient was right upper quadrant pain, radiating to the back, and colicky in nature. The patient was diagnosed with duodenal gastro-intestinal stromal tumor and a retro-peritoneal sarcoma. The mass was removed via a Kocher's incision and immunohistological examination showed that it was a right sided accessory spleen. The patient's left sided spleen appeared normal.

DISCUSSION: Efforts to distinguish an accessory spleen from a retroperitoneal tumor with available scans, percutaneous biopsy or biochemical tests are inconclusive. Differential diagnosis between a retroperitoneal tumor and an accessory spleen can only be made after surgical exploration.

CONCLUSION: This case highlights the fact that surgeons should consider the possibility of an accessory spleen when making a differential diagnosis of retroperitoneal tumors.

Copyright © 2016 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Keywords: Accessory spleen; Case report; Retroperitoneal mass; Spleen

References

  1. AJR Am J Roentgenol. 1980 Sep;135(3):483-6 - PubMed
  2. Int J Urol. 2008 Aug;15(8):739-40 - PubMed
  3. Diagn Cytopathol. 2013 May;41(5):466-9 - PubMed
  4. Am J Emerg Med. 1999 Jul;17(4):429-30 - PubMed
  5. Liver Int. 2004 Jun;24(3):216-7 - PubMed
  6. Surgery. 2008 Sep;144(3):476-7 - PubMed
  7. Anticancer Res. 2005 Nov-Dec;25(6C):4385-8 - PubMed
  8. J Pediatr Surg. 2009 Sep;44(9):e15-8 - PubMed
  9. Am J Surg. 2007 Aug;194(2):225-6 - PubMed
  10. J Gastrointest Surg. 2013 Oct;17(10):1893-6 - PubMed
  11. Oncol Lett. 2015 Oct;10(4):2400-2402 - PubMed
  12. Clin Nucl Med. 2004 Jul;29(7):403-9 - PubMed
  13. AJR Am J Roentgenol. 2004 Dec;183(6):1653-7 - PubMed
  14. Eur J Cardiothorac Surg. 2005 Oct;28(4):640 - PubMed
  15. Case Rep Pathol. 2013;2013:269543 - PubMed
  16. Clin Anat. 2011 Sep;24(6):757-62 - PubMed
  17. MedGenMed. 2005 May 05;7(2):9 - PubMed
  18. Am J Clin Pathol. 1959 Aug;32(2):165-8 - PubMed
  19. Urol Int. 2000;65(4):226-8 - PubMed

Publication Types