Large splenunculi mimicking as mesenteric mass

Aftab S Shaikh., Girish D Bakhshi., Arshad S Khan., Amarjeet E Tandur., Dhiraj Patil Nilofar M Jamadar

An accessory spleen is a small nodule of splenic tissue found apart from the main body of the spleen. It is also called as supernumerary spleen, splenule or splenunculus. Present in upto 20% of the population, one or more accessory spleens may also occur in up to 30% of patients with hematologic disease & 10-44% of necropsies. Mostly it is asymptomatic and is found incidentally on Computer Tomography scan or during other abdominal surgeries. It is symptomatic in few cases where it presents as lump in abdomen. We present a case of large splenunculi presenting as lump in abdomen. Patient underwent excision of cyst with resection and anastomosis of the small bowel segment as it involved its mesentery in its entire breadth. A brief case report with review of literature in presented.

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