PMC5537394_01
Ultrasound abdomen, showing a well-defined, hypoechoic solid mass measuring 12 x 5 x 3 cm.
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A minimal amount of fluid was noted in the left subphrenic space [Fig. 1].
Enhanced CT scan of abdomen revealing a 13 x 6 x 3 cm non-enhancing accessory spleen larger than the native spleen.
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Surrounding fat Stranding with minimal fluid around the mass was also noted [Fig. 2].
Another small accessory spleen was also found near the native spleen.
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A small round mass was also found near the native spleen [Fig. 3].
Ischemic huge accessory spleen.
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The accessory spleen was dusky with a tense capsule and fibrinous material overlying it [Fig. 4].
Twisted long mesentery of the accessory spleen.
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It was freely mobile, with evidence of a twist at its own pedicle of mesentery, therefore surgical resection was performed [Fig. 5].