World J Surg Surg Res | Volume 3, Issue 1 | Case Report | Open Access

Giant Accessory Spleen and Rotating Ectopic Kidney: A Rare Association

Diógenis Barbosa de Moura1, Lara Valeska de Medeiros Rocha1, João Luís Gomes da Silva1, Eusamar Magalhães Júnior1, Lauanda Ênia de Medeiros Rocha1, Antonio Bizerra Wanderley Neto1, Amália Cinhtia Meneses Rêgo2 and Irami Araújo-Filho3*

1Federal University of the State of Rio Grande do Norte, Brazil
2Department of Biotechnology, Potiguar University, Brazil
3Department of Surgery, Federal University of Rio Grande do Norte, Brazil

*Correspondance to: Irami Ara├║jo-Filho 

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Abstract

The accessory spleen is a congenital disability characterized by a separated ectopic splenic parenchyma.
Wandering Spleen (WS) is a rare condition where the spleen, free from its ligaments, is allowed to
move inside the abdomen, predisposing the patient to life-threatening complications due to torsion
of the vascular pedicle; splenic infarction, portal hypertension, bleeding and acute abdomen may
occur. WS or Accessory Spleen (AS) is rarely suspected at presentation since symptoms are usually
not specific, and definitive diagnosis is often reached only by imaging technologies such as color
flow ultrasonography and angio-spiral computed tomography. The size is rarely more than 4 cm.
Patients rarely present symptoms, and the diagnosis can be accidental when faced with ectopia in
radiological or intraoperative investigations. It is an essential clinical entity since abdomen-pelvic
tumors must always be considered as differential diagnoses, requiring detailed evaluation. Surgical
treatment is indicated for symptomatic patients or those with complications. On the other hand, the
ectopic kidney with rotation abnormality also consists of a singular entity. Congenital anomalies of
the upper urinary tract occur in 3% to 4% of those born, most of which are followed up clinically.
The present study discusses a case of symptomatic intrapelvic WS associated with an ectopic kidney
with rotation anomaly, a rare union, and still with scarce reports in the literature. This study aimed
to present the case of a patient with an isolated oversized accessory spleen and a review of the
literature.

Keywords:

Spleen; Accessory spleen; Wandering spleen; Displaced spleen; Abdominal pain; Splenectomy

Citation:

de Moura DB, de Medeiros Rocha LV, da Silva JLG, Júnior EM, de Medeiros Rocha LÊ, Wanderley Neto AB, et al.
Giant Accessory Spleen and Rotating Ectopic Kidney: A Rare Association. World J Surg Surgical Res. 2020; 3: 1202..

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