Azzi Melhem C, El-Khoury Elias F
General Surgery Division, Rafic Hariri University Hospital, Beirut, Lebanon.
J Med Liban. 2010 Oct-Dec;58(4):228-30.
Accessory spleens are frequent entities, but their infarction due to arterial stasis caused by segmental portal hypertension is extremely rare. We present this case of a 38-year-old female patient with a three-week history of abdominal pain and an abdominal CT scan revealing a 7 cm mass near the spleen and tail of pancreas with segmental portal hypertension. The patient had no hematologic disease. This mass was surgically resected, with a pathological diagnosis of an infarcted accessory spleen.
