Abstract
We report a 58-year-old woman with an accessory spleen in the left side of the pelvis. She visited our outpatient clinic complaining of lower abdominal discomfort. Abdominal ultrasonography revealed a tumor 4 cm in diameter in the left side of the pelvis. Color Doppler ultrasonography demonstrated plentiful pulsating blood flow. Magnetic resonance angiography revealed that the blood supply for the tumor was from a branch of the splenic artery. Scintigraphy with Tc-99m phytate revealed accumulation of radioactivity concordant with a mass in the left side of the pelvis, and the spleen was normally visualized. These findings suggested that this tumor was an accessory spleen, and the patient underwent no further invasive procedures.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Halpert B, Gyorkey F. Lesions observed in accessory spleens of 311 patients.Am J Clin Pathol 1959; 32: 165–168.
Wadham MB, Adams PB, Johnson MA. Incidence and location of accessory spleens.N Engl J Med 1981; 304: 1111.
Boerlum KG. Infarction of an accessory spleen presenting as a uterine fibroid with necrosis.Am J Obstet Gynecol 1982; 143: 974.
Seo T, Ito T, Watanabe Y, Umeda T. Torsion of an accessory spleen presenting as an acute abdomen with an inflammatory mass.Pediatr Radiol 1994; 24: 532.
Vural M, Kacar S, Kosar U, Altin L. Symptomatic wandering accessory spleen in the pelvis: sonographic findings.J Clin Ultrasound 1999; 27: 534–536.
Gruze BH, Hawkins R. The utility of SPECT liver-spleen imaging in the evaluation of a possible accessory spleen.Clin Nucl Med 1988; 13: 496–497.
Ohta H, Kohno K, Kojima N, Ihara N, Ishigaki T, Todo G, et al. A case of diaphragm hernia containing accessory spleen and great omentum detected by Tc-99m phytate scintigraphy.Ann Nucl Med 1999; 13: 347–349.
Bass RT, Yao ST, Freeark RJ. Torsion of an accessory spleen of the cecum presenting as acute appendicitis.N Engl J Med 1967; 277: 1190–1191.
Babcock TL, Cocker DD, Haynes JL, Conklin HB, et al. Infarction of an accessory spleen causing an acute abdomen.Am J Surg 1974; 127: 336–337.
Vassilopoulos P, Apostolikas N, Papajoglou I, Tsoupis DJ. Ectopic spleen in the retroperitoneum.Acta Chir Scand 1990; 156: 655–658.
Bock D, King B, Hezmall H, Oesterling JE. Splenosis presenting as a left renal mass indistinguishable from renal cell carcinoma.J Urol 1991; 146: 152–154.
Gruze BH, Hawkins R. The utility of SPECT liver-spleen imaging in the evaluation of a possible accessory spleen.Clin Nucl Med 1988; 13: 496–497.
Koyanagi N, Kanematu T, Sugimati K. Preoperative computed tomography and scintigraphy to facilitate the detection of accessory spleen in patients with hematologic disorders.Jpn J Surg 1988; 18: 101–104.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Nishiguchi, S., Habu, D., Ishizu, H. et al. Accessory spleen in the pelvis diagnosed by Tc-99m phytate scintigraphy. Ann Nucl Med 15, 263–265 (2001). https://doi.org/10.1007/BF02987843
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02987843