Abscess of an accessory spleen

Accessory spleens are not infrequent and occur in II to 44 per cent of the population with a greater incidence in those with hematological disease. Th ey may remain clinically silent or result in a number of pathologic process es. Abscess of an accessory spleen is rare but must be considered in the di fferential diagnosis of fever of unknown origin or sepsis in select groups of patients. Computerized tomography is the imaging modality of choice and may also be used in the percutaneous drainage of select cases. Laparoscopic splenectomy in the hands of the experienced laparoendoscopic surgeon is a viable treatment option.