A Rare Cause of Chronic Abdominal Pain: Recurrent Sub-torsions of an Accessory Spleen |
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Authors: | Martin Lhuaire Daniele Sommacale Tullio Piardi Philippe Grenier Marie-Danièle Diebold Claude Avisse Reza Kianmanesh |
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Affiliation: | 1. Department of General, Digestive and Endocrine Surgery, H?pital Robert-Debré, Centre Hospitalier Universitaire de Reims, Université de Reims Champagne-Ardenne, Reims, France 2. Department of Anatomy, Faculté de Médecine, Université de Reims Champagne-Ardenne, 51 rue Cognacq-Jay, 51095, Reims, France 3. Department of General, Digestive and Urologic Surgery, Centre Hospitalier Général Auban-Mo?t, épernay, France 4. Department of Pathology, H?pital Robert-Debré, Centre Hospitalier Universitaire de Reims, Université de Reims Champagne-Ardenne, Reims, France
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Abstract: | Accessory spleen is defined as one, two, or three nodules of additional ectopic splenic parenchyma hung by a vascular pedicle generally near the spleen. Despite a relatively high frequency (from 10 to 30 % of the population based on autopsy studies), most accessory spleens are asymptomatic. Although cases of accessory spleen were clearly described in the literature, this perplexing diagnosis is often delayed and rarely made preoperatively. We repot episodic recurrences of abdominal pain in a 66-year-old man attributed to iterative sub-torsions of an accessory spleen, as well as a comprehensive review of the literature. |
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