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Reprint requests: Ke Ren Zhang, MD, The Department of Pediatric Surgery, The Shengjing Hospital, China Medical University, No. 36 Saohao St. Heping District, ShenYang, Liaoning, 110004 P. R. China.
A 7-year-old girl presented to the emergency department with upper abdominal pain of 1 week's duration.
There were no other associated symptoms; the white blood-cell count, the erythrocyte
sedimentation rate, and levels of C-reactive protein were normal. Ultrasonography
and computed tomography (CT) scan with intravenous contrast were performed. The images
revealed a 4-cm solid mass in the left upper quadrant. A 3-dimensional reconstruction
of the CT scan showed the mass had a trophic vessel linking to the splenic hilum region,
but the organ involved was not determined preoperatively (Fig 1). The large size of the mass, which was atypical for an accessory spleen, and the
lack of proximity to the spleen made an exact diagnosis uncertain.
Fig 1Three-dimensional reconstruction computed tomography (CT) scan. CT shows trophic vessel
linking mass to the splenic hilum region.
