PMC5907687_01
Preoperative CT scan showed an enormous wandering spleen with dislocation of neighbor organs and an indeed bi-iliac diameter of 19 cm.
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The abdominal intravenous contrast-enhanced computed tomography (CT) scan abdomen showed an ectopic spleen displaced in right side and mesogastrium of size 15 x 6 x 12 cm with an abnormal wandering pedicle (Fig. 1, Fig. 2).
A Image of the vascular pedicle B Image of the wandering spleen and accessory spleen.
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Moreover, accompanying report noted an accessory spleen of size 2 cm rear left splenic pole with abnormal long pedicle (Fig. 3).
Removal of specimens en-bloc (spleen and accessory spleen) through Pfannestiel incision.
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Spleen and accessory spleen were removed with Pfannenstiel incision (Fig. 4, Fig. 5).