Wandering Accessory Spleen: Laparoscopic Approach for an Extremely Rare Condition: A Case Report
Paolo Locurto, Salvatore Fazzotta, Marco Airò Farulla, Luigi Antonio Lazzaro, Maria Amico, Ilenia Gregoria Forbice, Giovanni Salvatore Urrico, Giovanni Ciaccio
Keywords :
Case report, Laparoscopic surgery, Wandering accessory spleen
Citation Information :
Locurto P, Fazzotta S, Farulla MA, Lazzaro LA, Amico M, Forbice IG, Urrico GS, Ciaccio G. Wandering Accessory Spleen: Laparoscopic Approach for an Extremely Rare Condition: A Case Report. World J Lap Surg 2024; 17 (3):185-188.
Background: Wandering accessory spleen (WAS) is a very rare but dangerous condition. Patients are often asymptomatic and the diagnosis can be accidental. An early diagnosis and a correct treatment are fundamental.
Case presentation: A young woman with renal disorders underwent laparoscopic surgery after sudden abdominal pain. Radiological exams show a wandering abdominal mass located in different abdominal areas.
Discussion: Wandering accessory spleen is often asymptomatic. A torsion on its vascular axis leads to emergency surgery. Laparoscopy is the gold standard treatment in the correct management of this rare condition. Definitive diagnosis is based on histological exams.
Yildiz AE, Ariyurek MO, Karcaaltincaba M. Splenic anomalies of shape, size, and location: Pictorial essay. Scientific World Journal 2013;2013:321810. DOI: 10.1155/2013/321810.
Vural M, Kacar S, Kosar U, et al. Symptomatic wandering accessory spleen in the pelvis: Sonographic findings. J Clin Ultrasound 1999;27(9): 534–536. DOI: 10.1002/(sici)1097-0096(199911/12)27:9<534::aid-jcu8>3.0.co;2-x.
Valls C, Monés L, Gumà A, et al. Torsion of a wandering accessory spleen: CT findings. Abdom Imaging 1998;23(2):194–195. DOI: 10.1007/s002619900321.
Perin A, Cola R, Favretti F. Accessory wandering spleen: Report of a case of laparoscopic approach in an asymptomatic patient. Int J of Surg Caso Rep 2014;5(12):887–889. DOI: 10.1016/j.ijscr.2014.10.045.
Qasi SA, Mirza SM, Muhammad AA, et al. Wandering spleen. Saudi J Gastroenterol 2004;10(1):1–7. PMID: 19861821.
Gayer G, Zissin R, Apter S, et al. CT findings in congenital anomalies of the spleen. Br J Radiol 200;74(884):767–772. DOI: 10.1259/bjr.74.884.740767.
Satydas T, Nasir N, Bradpiece HA. Wandering spleen: Case report and literature review. J R Coll Surg Edinb 2002;47(2):512–514. PMID: 12018698.
Bekheit M, Katri KM, Ezzat T. Wandering hemi-spleen: Laparoscopic management of wandering spleen in a case of polysplenia. Int J Surg Case Rep 2012;3(5):151–154. DOI: 10.1016/j.ijscr.2011.10.020.
Rodríguez Vargas D, Parada Blázquez MJ, Vargas Serrano B. Diagnostic imaging of abnormalities in the location of the spleen and in the number of spleens. Radiología 2019;61(1):26–34. DOI: 10.1016/j.rx.2018.07.002.
Reisner DC, Burgan CM. Wandering spleen: An overview. Curr Probl Diagn Radiol 2018;47(1):68–70. DOI: 10.1067/j.cpradiol.2017.02.007.
Varga I, Babala J, Kachlik D. Anatomic variations of the spleen: Current state of terminology, classification, and embryological background. Surg Radiol Anat 2018;40(1):21–29. DOI: 10.1007/s00276-017- 1893-0.
Jude NN, Onochie NC. Torsion of a wandering spleen. A rare cause of acute abdomen. Saudi Med J 2015;36(12):1490–1492. DOI: 10.15537/smj.2015.12.12363.
Vander Maren N, Verbeeck N. The “Jokari Sign”, an imaging feature diagnostic of a wandering accessory spleen. J Belg Soc Radiol 2015;99(1):58–61. DOI: 10.5334/jbr-btr.857.
Locurto P, Airò Farulla M, Di Lorenzo G, et al. Acute massive bleeding from splenic artery aneurysm rupture: A case report. G Chir 2019;40(6):530–534. PMID: 32007115.
Termos S, Redha A, Zbibo R, et al. Torsion of huge wandering accessory spleen. Case report and review of literature. Int J Surg Caso Rep 2017;38:131–135. DOI: 10.1016/j.ijscr.2017.07.037.
