Surgical resection for accessory spleen torsion: A case report

INTRODUCTION: Accessory spleen torsion is extremely rare, and surgery is often the emergency or elective treatment of choice. PRESENTATION OF CASE: A 20-year-old female with no specific medical history presented to our outpatient clinic with a chief complaint of abdominal pain. The patient was diagnosed with accessory spleen torsion by computed tomography. However, the abdominal symptoms and inflammatory reaction based on blood tests were mild, so a conservative treatment was selected. Subsequently, blood tests were normalized, and imaging studies showed that the accessory spleen was shrinking. Contrast-enhanced examination showed contrast enhancement in a portion of the infarcted accessory spleen region, indicating that the accessory spleen torsion had been released. Surgical resection was performed to prevent possible future re-torsion and hemorrhage of the accessory spleen. DISCUSSION: The removed specimen seemed to be normal accessory spleen tissue with clear infarcted foci edges. This artery showed evidence of luminal organization and untwisting of the occluded artery. CONCLUSION: This accessory spleen torsion was treated conservatively; however, the patient was referred for surgical treatment.