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IMAGES IN LAPAROSCOPY
Ahead of Print

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


 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
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Source of Support: None, Conflict of Interest: None

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.


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    -  Obuchi T
    -  Takagane A
    -  Sato K
    -  Yonezawa H
    -  Funato O
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04