Accessory Spleen In Gastrosplenic Ligament.

A Case Report

Abstract

Background: They are typically asymptomatic and are detected when an imaging test or surgery is performed by chance. In this case, we present an unusual finding of an accessory spleen, which was discovered in the gastrosplenic ligament during an emergency laparotomy due to abdominal injury. This observation suggests that accessory spleens should be considered in the differential diagnosis of intra-abdominal masses in both trauma and oncologic cases.

Study Design: A Case Report.

Place and Duration of Study. Department of Surgery Mardan Medical Complex,Kpk Pakistan from jan to  June 2024

Introduction

Spleen develops during the sixth week of gestation using coelomic epithelium around the dorsal pancreatic bud. As the cells continue to grow and invade the mesenchyme, the splenic tissue becomes vascularized and locally lobulated, shaping its final morphology [1]. The spleen is usually in the left upper abdominal quadrant between the 9th and 11th ribs and weighs about 200 gram[2]. Secondary spleens, or splenunculi, can be found in around 10-30 per cent of people[3]. These are commonly asymptomatic and anatomically the same as the primary spleen about blood supply as the splenic artery[4] supplies the main spleen. The majority of accessory spleens tend to be found adjacent to the splenic hilum or the tail of the pancreas. However, they can also be found in the gastrosplenic or lienorenal ligaments, mesentery or the retroperitoneum[5]. Distinguishing them with lymphadenopathy or neoplastic masses plays a crucial role in oncologic and surgical assessment [6].