Accessory spleens are not infrequent and occur in 11 to 44 per cent of the population with a greater incidence in those with hematological disease. They may remain clinically silent or result in a number of pathologic processes. Abscess of an accessory spleen is rare but must be considered in the differential diagnosis of fever of unknown origin or sepsis in select groups of patients. Computerized tomography is the imaging modality of choice and may also be used in the percutaneous drainage of select cases. Laparoscopic splenectomy in the hands of the experienced laparoendoscopic surgeon is a viable treatment option.
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References
1.
CurtisGM, MovitzD. The surgical significance of the accessory spleen. Ann Surg1946;123:276–98.
NelkenN, IgnatiusJ, SkinnerM, ChristensenN. Changing spectrum of splenic abscess: A multicenter study and review of literature. Am J Surg1987;154:27–34.
4.
DebeuckelaereS, SchoorsDF, BuydensP, . Splenic abscess: A diagnostic challenge. Am J Gastroenterol1991;86:1675–8.
5.
FerrucciJT, VanSonnenbergE. Intraabdominal abscess, radiological diagnosis and treatment. JAMA1981;246:2728–33.
6.
GleichS, WolinDA, HerbsmanH. A review of percutaneous drainage in splenic abscess. Surg Gynecol Obstet1988;167:211–6.
7.
KatkhoudaN, HurwitzMB, RiveraRT, . Laparoscopic splenectomy: Outcome and efficacy in 103 consecutive patients. Ann Surg1998;228:568–78.
