Accessory spleen misdiagnosed as left adrenal tumor causing complications

Abstract A 58-year-old female patient came to our hospital for physical examination. CT scan: a round, well-defined and isoechoic nodule has been found in the left adrenal with a clear boundary and scaled about 2.0cm × 1.7 cm. She underwent laparoscopic resection, sequentially occurred complications of the pancreas and renal impairment. Discussion: In general, the accessory spleen is asymptomatic and most were found by ultrasonography in physical examination. Usually, accessory spleen located in the helium or inferior pole of the spleen, rarely in the superior pole or other organs like adrenal. Clinically, it can be misdiagnosed or even caused complications in some serious cases.