Journal of Minimal Access Surgery

IMAGES IN LAPAROSCOPY
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Year : 2017  |  Volume : 13  |  Issue : 4  |  Page : 321--322

Single-incision laparoscopic excision of symptomatic accessory spleen in the pelvis: An initial report

Toru Obuchi, Akinori Takagane, Kei Sato, Hitoshi Yonezawa, Osamu Funato, Makoto Kobayashi 
 Department of Surgery, Hakodate Goryoukaku Hospital, Hakodate-City 38-3, Hokkaido, Japan

Correspondence Address:
Toru Obuchi
Department of Surgery, Hakodate Goryoukaku Hospital, Hakodate-City 38-3, Hokkaido
Japan

An accessory spleen (AS) is commonly located near the spleen's hilum and/or in the pancreas tail. However, a symptomatic AS is rarely found in the pelvis. We present a resected case with lower abdominal pain whose final diagnosis was symptomatic AS caused by torsion in the pelvis. An 18-year-old man was presented to our hospital with lower abdominal pain. Enhanced abdominal computed tomography showed an inflammatory mass with a cord-like band in the pelvic space. We finally diagnosed pelvic neoplasm and performed single-incision laparoscopic surgery (SILS) using an access platform. SILS of these tumours located on a pelvic lesion has never been reported; this is the first report of torsion of a pelvic AS. SILS for AS is a safe, feasible procedure, even when the AS lays in the pelvic space.


How to cite this article:
Obuchi T, Takagane A, Sato K, Yonezawa H, Funato O, Kobayashi M. Single-incision laparoscopic excision of symptomatic accessory spleen in the pelvis: An initial report.J Min Access Surg 2017;13:321-322


How to cite this URL:
Obuchi T, Takagane A, Sato K, Yonezawa H, Funato O, Kobayashi M. Single-incision laparoscopic excision of symptomatic accessory spleen in the pelvis: An initial report. J Min Access Surg [serial online] 2017 [cited 2022 Jan 16 ];13:321-322
Available from: https://www.journalofmas.com/article.asp?issn=0972-9941;year=2017;volume=13;issue=4;spage=321;epage=322;aulast=Obuchi;type=0