Anatomical variants · USMLE Step 1

A surgeon encounters an accessory spleen during a splenectomy. Where is the most common location for this structure?

  1. Greater omentum
  2. Splenic hilum
  3. Pancreatic head
  4. Left colic flexure
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Correct answer: Splenic hilum

Accessory spleens most often occur at the splenic hilum. They are important to remove in cases like hereditary spherocytosis to prevent recurrent symptoms.

Difficulty: Medium Question 9 of 20

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