Torsion of a huge accessory spleen in a 20-year-old patient.
BACKGROUND
Accessory spleen is a rare condition. Torsion of accessory spleen can lead to acute abdomen.


METHODS
We describe a young woman with an acute abdomen caused by torsion of accessory spleen. Abdominal computed tomography angiography (CTA) demonstrated an ischemic giant accessory spleen with a twisted vascular pedicle. An emergency laparotomy was performed with resection of the infarcted accessory spleen.


CONCLUSIONS
Accessory spleen is a rare and asymptomatic condition. Torsion of accessory spleen is also uncommon. Abdominal pain is the main symptom. CTA is effective in reaching a diagnosis. Definitive treatment of an acute abdomen due to accessory splenic torsion is emergency accessory splenectomy.


CONCLUSIONS
Elective accessory splenectomy should be recommended for known giant accessory spleen to prevent complications in future.
Division of General Surgery, Rabin Medical Center, Campus Beilinson, Affiliated with Sackler Faculty of Medicine, Tel Aviv University, Israel. Electronic address: bardik1977@gmail.com.
Vyacheslav
V
Bard
Institute of Radiology, Rabin Medical Center, Campus Beilinson, Affiliated with Sackler Faculty of Medicine, Tel Aviv University, Israel.
Natalie
N
Goldberg
Division of General Surgery, Rabin Medical Center, Campus Beilinson, Affiliated with Sackler Faculty of Medicine, Tel Aviv University, Israel.
Hanoch
H
Kashtan
Accessory spleen; Splenectomy; Torsion of spleen