Pelvic tumor: accessory spleen

Abstract

A 22-year-old woman, who presented diffuse abdominal pain, with irradiation to the lumbar region, of great intensity, self-medicated and, when the pain did not
subside, went to the emergency service. No major background. To clinical examination: with sweaty skin, very complaining; abdomen painful on palpation and
impressed a tumor in the lower left quadrant of the abdomen. Normal blood count and urine test. Ultrasound: in the left iliac fossa, a hypoechogenic solid oval
lesion of 65 mm x 35 mm with circumscribed margins was found, that at the color Doppler showed arterial and venous vascular flow, which extended to the
splenic hilum. The tomography indicated a spleen of normal size, morphology and density; with the presence of an accessory spleen of ectopic location, at the
level of the left iliac fossa, of 55 mm x 49 mm. A laparoscopic splenectomy was performed, with a favorable evolution before and after the medical discharge.