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Case Reports in Pathology
Volume 2013, Article ID 269543, 3 pages
Case Report

Giant Accessory Right-Sided Suprarenal Spleen in Thalassaemia

Department of Surgery, University of the West Indies, General Hospital, Port-of-Spain, Trinidad and Tobago

Received 8 January 2013; Accepted 29 January 2013

Academic Editors: O. Fadare, M. Mazzocchi, and I. Meattini

Copyright © 2013 A. Arra et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


An accessory spleen is defined as ectopic splenic tissue that develops due to failure of fusion of cells during embryonic development as they migrate from the midline to the left upper quadrant. While benign, complications may arise which include trauma, torsion, or infarction of the ectopic tissue. Additionally, patients who have had a splenectomy secondary to treatment for previous pathology such as a haematological malignancy or idiopathic thrombocytopenia purpura may experience persistent symptoms due to the accessory splenic tissue. The presence of an accessory spleen is therefore of significant diagnostic and therapeutic importance. To the best of the authors' knowledge, this case is the second and largest reported case of a giant right suprarenal accessory spleen and highlights the difficulty in differentiation of these masses from malignant adrenal tumours.