Wandering spleen: Challenge in differential diagnosis with abdominal tumors: A case report and review of literature

Doan Trong Tu, Tran Tuan Thanh, Nguyen Van Cuong, Pham Hoang Giang, Pham The Duong

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Tóm tắt

Wandering spleen is a very rare disease, which might lead to a misdiagnosis as other abdominal masses. We report a 40-years-old male presenting to our hospital with chronic pain in the lower abdomen. An abdominal computed tomography scan revealed a solid, contrast-enhanced tumor in the hypogastric region with a size of 50x65mm, and the spleen was not seen at the normal anatomical site. The patient was preoperatively diagnosed with a mesenteric gastrointestinal stromal tumor (GIST) and underwent resection surgery. However, postoperative histopathology was benign splenic tissue. Diagnosis of a wandering spleen can be difficult. In this circumstance, the patient was only diagnosed correctly based on postoperative histopathology.

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