An Accessory Spleen Found During Emergency Splenectomy for Blunt Abdominal Trauma: A Rare Intraoperative Finding

Splenic injury is a common consequence of blunt abdominal trauma and is often managed conservatively in haemodynamically stable patients; however, clinical deterioration may necessitate surgical intervention. We report the case of a 35-year-old male who presented following a motorcycle fall with abdominal pain and signs of haemodynamic instability. Contrast-enhanced computed tomography revealed a Grade II splenic injury with haemoperitoneum. Despite initial improvement after resuscitation, the patient developed worsening tachycardia and declining haemoglobin levels, requiring emergency exploratory laparotomy and splenectomy. Intraoperatively, a 1 × 1 cm accessory spleen was identified within the gastrosplenic ligament and preserved. The postoperative course was uneventful. This case highlights the importance of close monitoring in blunt splenic trauma and emphasizes the clinical significance of recognizing and preserving accessory splenic tissue during splenectomy.