Intraperitoneal hemorrhage due to accessory spleen torsion: Case report

Torsion of an accessory spleen is a rare condition, and it is often difficult to diagnose. It frequently presents as an acute abdomen, especially in young individuals. Only several dozen cases have been reported so far, and instances of rupture are even rarer. In this report, we present a case of an...

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Main Authors: Koji Hosoda, Kazuto Shimizu, Michiko Tadokoro, Nobuhiro Miyazaki
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324012238
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author Koji Hosoda
Kazuto Shimizu
Michiko Tadokoro
Nobuhiro Miyazaki
author_facet Koji Hosoda
Kazuto Shimizu
Michiko Tadokoro
Nobuhiro Miyazaki
author_sort Koji Hosoda
collection DOAJ
description Torsion of an accessory spleen is a rare condition, and it is often difficult to diagnose. It frequently presents as an acute abdomen, especially in young individuals. Only several dozen cases have been reported so far, and instances of rupture are even rarer. In this report, we present a case of an adult male who developed intraperitoneal hemorrhage due to torsion of an accessory spleen, presenting with left upper quadrant pain. A preoperative diagnosis was successfully made using contrast-enhanced computed tomography (CT), Angiography and magnetic resonance imaging(MRI). When encountering left upper abdominal pain or intraperitoneal hemorrhage, torsion of an accessory spleen should be considered as a differential diagnosis.
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publishDate 2025-02-01
publisher Elsevier
record_format Article
series Radiology Case Reports
spelling doaj-art-92e66bde041b43879ef525155227e7df2025-08-20T02:48:55ZengElsevierRadiology Case Reports1930-04332025-02-0120290390810.1016/j.radcr.2024.10.115Intraperitoneal hemorrhage due to accessory spleen torsion: Case reportKoji Hosoda0Kazuto Shimizu1Michiko Tadokoro2Nobuhiro Miyazaki3Corresponding author.; Department of Radiology, Chikamori Hospital, Kochi, JapanDepartment of Radiology, Chikamori Hospital, Kochi, JapanDepartment of Radiology, Chikamori Hospital, Kochi, JapanDepartment of Radiology, Chikamori Hospital, Kochi, JapanTorsion of an accessory spleen is a rare condition, and it is often difficult to diagnose. It frequently presents as an acute abdomen, especially in young individuals. Only several dozen cases have been reported so far, and instances of rupture are even rarer. In this report, we present a case of an adult male who developed intraperitoneal hemorrhage due to torsion of an accessory spleen, presenting with left upper quadrant pain. A preoperative diagnosis was successfully made using contrast-enhanced computed tomography (CT), Angiography and magnetic resonance imaging(MRI). When encountering left upper abdominal pain or intraperitoneal hemorrhage, torsion of an accessory spleen should be considered as a differential diagnosis.http://www.sciencedirect.com/science/article/pii/S1930043324012238Accessory spleenTorsionIntraperitoneal hemorrhageSpontaneous ruptureMRIPedicle
spellingShingle Koji Hosoda
Kazuto Shimizu
Michiko Tadokoro
Nobuhiro Miyazaki
Intraperitoneal hemorrhage due to accessory spleen torsion: Case report
Radiology Case Reports
Accessory spleen
Torsion
Intraperitoneal hemorrhage
Spontaneous rupture
MRI
Pedicle
title Intraperitoneal hemorrhage due to accessory spleen torsion: Case report
title_full Intraperitoneal hemorrhage due to accessory spleen torsion: Case report
title_fullStr Intraperitoneal hemorrhage due to accessory spleen torsion: Case report
title_full_unstemmed Intraperitoneal hemorrhage due to accessory spleen torsion: Case report
title_short Intraperitoneal hemorrhage due to accessory spleen torsion: Case report
title_sort intraperitoneal hemorrhage due to accessory spleen torsion case report
topic Accessory spleen
Torsion
Intraperitoneal hemorrhage
Spontaneous rupture
MRI
Pedicle
url http://www.sciencedirect.com/science/article/pii/S1930043324012238
work_keys_str_mv AT kojihosoda intraperitonealhemorrhageduetoaccessoryspleentorsioncasereport
AT kazutoshimizu intraperitonealhemorrhageduetoaccessoryspleentorsioncasereport
AT michikotadokoro intraperitonealhemorrhageduetoaccessoryspleentorsioncasereport
AT nobuhiromiyazaki intraperitonealhemorrhageduetoaccessoryspleentorsioncasereport