Title: Laparoscopic approach to accessory wandering spleen, an uncommon association
Título: Abordaje laparoscópico del bazo errante accesorio, una asociación poco frecuente
Authors:
Ester Ferrer-Inaebnit a, Juan José Segura-Sampedro a,b,c, Cristina Pineño-Flores a,c, Rafael Morales-Soriano a
a General and Digestive Surgery Service: Hospital Universitario Son Espases, Palma de Mallorca, Spain
b Faculty of Medicine, Universidad de las Islas Baleares, Palma de Mallorca, Spain
c Health Research Institute of the Balearic Islands (IdISBa), Palma de Mallorca, Spain
A 46-year-old woman, with intermittent colicky abdominal pain, was diagnosed of an intraperitoneal tumor in an abdominal tomography (Fig. 1), oriented as a gastrointestinal stromal tumor.
An exploratory laparoscopy with two trocars was performed, finding a mass with a long vascular pedicle depending on the splenocolic ligament (Fig. 1). It was performed a section of the vascular pedicle by Ligasure at the infrasplenic level, with extraction of the specimen by Pfannestiel incision.
She was discharged the day after and has been asymptomatic since then.
The histology report was accessory spleen of 3.5 cm with a long vascular pedicle.
DIAGNOSTIC: Accessory wandering spleen.
DOI: 10.1016/j.ciresp.2022.06.017