Monika Thakur¹, Angesh Thakur², Kunal Mahajan³*, Sandeep Rathore¹, Aditi Jindal¹ and Gunjan Gupta⁴

¹Senior Resident, Department of Obstetrics and Gynaecology, Indira Gandhi Medical College, Shimla, HP, India
²Senior Resident, Department of Surgery, Indira Gandhi Medical College, Shimla, HP, India
³Department of Cardiology, Holy Heart Advanced Cardiac Care and Research Center, Rohtak, Haryana, India
⁴Senior Resident, Department of ENT, PGIMS, Rohtak, Haryana, India

*Corresponding Author: Kunal Mahajan, Department of Cardiology, Holy Heart Advanced Cardiac Care and Research Center, Rohtak, Haryana, India.

Received: February 26, 2018; Published: March 29, 2018

Citation: Kunal Mahajan., et al. “An Interesting Case of Misdiagnosed Adnexal Mass”. Acta Scientific Medical Sciences 2.1 (2018).

Abstract

&ndps;&ndps;A 41-year-old lady, presented with complaints of acute onset lower abdominal pain and vomiting. On clinical examination, a tender mass in the hypogastric region was palpable. Pelvic examination revealed the same mass felt anterior and through one of the fornices, however, there was no cervical motion tenderness. Ultrasonography revealed a pelvic mass. The provisional diagnosis of torsion of adnexal mass was made. Ultrasonogram also revealed an absent spleen in left hypochondrium, which was ignored at that time. Emergency laparotomy was done which revealed a normal uterus and bilateral ovaries. However, a congested spleen was found in the pelvic area with abnormally elongated and twisted pedicle. A total splenectomy was performed in view of infarction of the torted spleen. The patient was discharged uneventfully on the fifth postoperative day with triple vaccination. This case describes a rare presentation of torsion of a wandering spleen being misdiagnosed as torsion of adnexal mass.

Keywords: Adnexal Mass; Spleen; Torsion

Copyright: © 2018 Kunal Mahajan., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.