Symptomatic wandering accessory spleen in the pelvis: sonographic findings.
We describe the case of a mobile left lower quadrant mass associated with recurrent abdominal pain; at surgical exploration, the mass was found to be an accessory pelvic spleen. Although accessory spleens are present in 10-30% of individuals, a wandering accessory spleen located in the pelvis is not frequently seen. On sonography, the mass in our patient appeared well-defined and homogeneous. Spectral analysis and color Doppler imaging demonstrated a normal vascular branching pattern and high diastolic flow due to low resistance in the vascular bed. The parenchymal resistance index of the mass was similar to that of the native spleen.
Vural
M
M
Department of Radiology, Ankara Numune Training and Research Hospital, 06100 Sihhiye, Ankara, Turkey.
Kacar
S
S
Koşar
U
U
Altin
L
L
D015746:Abdominal Pain / Q000000981:diagnostic imaging / Q000209:etiology; D000328:Adult; D001783:Blood Flow Velocity; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010388:Pelvis / Q000000981:diagnostic imaging*; D011860:Radiography, Abdominal; D012008:Recurrence; D013154:Spleen / Q000002:abnormalities* / Q000098:blood supply / Q000000981:diagnostic imaging; D013156:Splenectomy; D013158:Splenic Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color; D014655:Vascular Resistance