Document Type
Article
Publication Date
1-2020
Identifier
DOI: 10.3389/fped.2020.00220; PMCID: PMC7212802
Abstract
Torsion of an accessory spleen is an exceedingly rare cause of abdominal pain in pediatric patients. The diagnosis is frequently challenging as presentation is variable and diagnostic imaging can be aspecific. The current case describes an unusual presentation of a torted accessory spleen in a 5-year-old girl with biliary atresia splenic malformation syndrome who initially presented with non-specific abdominal symptoms and fever. The diagnosis was made following fine-needle aspiration of a suspected intraabdominal abscess. The case highlights the diagnostic challenge of accessory splenic torsion and stresses the importance of its inclusion on the differential diagnosis of pediatric patients, especially those with known splenic or laterality abnormalities, presenting with both acute and sub-acute abdominal symptoms.
Journal Title
Front Pediatr
Volume
8
Keywords
abdominal pain; accessory spleen; biliary atresia splenic malformation syndrome (BASM); congenital anomaly; torsion
Recommended Citation
Simon DA, Fleishman NR, Choi P, Fraser JD, Fischer RT. Torsion of an Accessory Spleen in a Child With Biliary Atresia Splenic Malformation Syndrome. Front Pediatr. 2020;8:220. Published 2020 May 4. doi:10.3389/fped.2020.00220
Comments
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Publisher's Link: https://www.frontiersin.org/articles/10.3389/fped.2020.00220/full