Abstract
Accessory spleens are typically identified incidentally. Torsion of an accessory spleen, however, is an exceptionally rare cause of acute abdominal pain and presents a significant diagnostic challenge due to its non-specific clinical presentation. We report the unusual case of a young woman admitted to the emergency department for an acute abdomen, leading to the laparoscopic diagnosis of accessory spleen torsion. This case highlights the diagnostic difficulties encountered preoperatively and underscores the pivotal role of laparoscopy in both the diagnosis and treatment of this rare condition. A review of the literature on medical management is also included.