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

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