Bayanduuren B*, Altankhuyag B, Enkhbayar D, Uyanga T, Bulgan CH and Mishigdorj L
Grandmed Hospital, MongoliaFulltext PDF
Introduction: The occurrence of an ectopic spleen is relatively common and observed in 10% to 30% of autopsy patient. Ectopic spleen is found in 10% to 15% of the population, and even more prevalent in patient with hematological disorders. Usually, accessory spleen is asymptomatic; torsion and infarction rupture with bleeding, and infection with abscess is a very rare complication. Rupture of an ectopic spleen is extremely rare, and requires prompt medical attention. Case presentation: We report the case of 49 years, old female. Presenting with an upper recurrent abdominal pain and nausea, vomiting, dizziness. Pain is sudden onset presenting 5 days ago. Previously no pain and no history of family. Blood examination: HGB=9 × 10 g/dl, RBC=3.10 × 10^3/ul Abdominal computed tomography: 8 cm × 5 cm × 4 cm well defined homogenous lesion in middle abdomen adjacent in the stomach wall. Free blood in peritoneal cavity. Exploratory laparotomy, ectopic splenectomy. Large ectopic spleen adjacent stomach wall to vascular pedicle. Ruptured ectopic spleen with hemoperitoneum.
Ectopic spleen; Rupture; Hemoperitoneum; Abdominal pain; Posteromedial position
Bayanduuren B, Altankhuyag B, Enkhbayar D, Uyanga T, Bulgan CH, Mishigdorj L. Ruptured Huge Ectopic Spleen: A Case Presentation Review of Literature. Ann Clin Case Rep. 2020; 5: 1784.