# Torsion of an Accessory Spleen Presenting as Acute Right Iliac Fossa Pain: A Case Report

## TL;DR

A rare case of a young woman experiencing sudden abdominal pain due to a twisted accessory spleen is reported, emphasizing the challenges in diagnosis and the role of laparoscopy.

## Contribution

This paper presents a rare clinical case of accessory spleen torsion diagnosed laparoscopically and reviews its medical management.

## Key findings

- Accessory spleen torsion is a rare and challenging cause of acute abdominal pain.
- Laparoscopy proved crucial for both diagnosing and treating the condition preoperatively.
- Medical literature on managing this condition is limited and requires further exploration.

## Abstract

Accessory spleens are typically identified incidentally. Torsion of an accessory spleen, however, is an exceptionally rare cause of acute abdominal pain and presents a significant diagnostic challenge due to its non-specific clinical presentation. We report the unusual case of a young woman admitted to the emergency department for an acute abdomen, leading to the laparoscopic diagnosis of accessory spleen torsion. This case highlights the diagnostic difficulties encountered preoperatively and underscores the pivotal role of laparoscopy in both the diagnosis and treatment of this rare condition. A review of the literature on medical management is also included.