Intrapancreatic Accessory Spleen Imitating a Pancreatic Neoplasm

• Authors: Marcin Zeman , Ewa Zembala-Nożyńska , Joanna Sczasny , Mirosław Strączyński , Maciej Wideł
• Languages of publication: EN

Abstracts

EN

Accessory spleens are present in 10% of population and are formed during embryonic development. Besides the splenic hilum, the next most frequent localization of accessory spleens is the pancreatic tail. Intrapancreatic accessory spleens are usually diagnosed occasionally and make diagnostic difficulty because they imitate a pancreatic neoplasm. We present the case of a 61-year old woman with a mass in the pancreatic tail, diagnosed by computed tomography. The patient was operated with suspicion of neuroendocrine tumor. Postoperative histopathological examination revealed the intrapancreatic accessory spleen. We present possibilities of differential diagnosis.

Keywords

EN

intrapancreatic accessory spleen; pancreatic mass; neuroendocrine neoplasm; differential diagnosis

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2011
• Volume: 83
• Issue: 10
• Pages: 568-570

Dates

published

1 - 10 - 2011

online

21 - 12 - 2011

Contributors

author

Marcin Zeman

• Department of Oncologic and Reconstructive Surgery, M. Skłodowska-Curie Memorial Institute in Gliwice

author

Ewa Zembala-Nożyńska

• Department of Tumor Pathology, M. Skłodowska-Curie Memorial Institute in Gliwice

author

Joanna Sczasny

• Department of Radiodiagnostics, Oncology Center, M. Skłodowska-Curie Memorial Institute in Gliwice

author

Mirosław Strączyński

• Department of Oncologic and Reconstructive Surgery, M. Skłodowska-Curie Memorial Institute in Gliwice

author

Maciej Wideł

• Department of Oncologic and Reconstructive Surgery, M. Skłodowska-Curie Memorial Institute in Gliwice

References

• Halpert B, Alden ZA: Accessory spleens in or at the tail of the pancreas: A survey of 2,700 additional necropsies. Arch Pathol 1964; 77: 652-54.
• Arkadopoulos N, Athanasopoulos P, Stafyla V et al.: Intrapancreatic accessory spleen issues: diagnostic and therapeutic challenges. J Pancreas 2009; 10(4): 400-05.
• Kurmann A, Michel JM, Stauffer E et al.: Intrapancreatic accessory spleen misdiagnosed as a nonsecreting endocrine tumor: case report and review of the literature. Case Rep Gastroenterol 2010; 4: 210-14.[Crossref][PubMed]
• Guo W, Han W, Liu J et al.: Intrapancreatic accessory spleen: A case report and review of the literature. World J Gastroenterol 2009; 15: 1141-43.[Crossref][WoS]
• Takayama T, Shimada K, Inoue K et al.: Intrapancreatic accessory spleen. Lancet 1994; 344: 957-58.
• Ota T, Tei M, Yoshioka A et al.: Intrapancreatic accessory spleen diagnosed by technetium-99m heat-damaged red blood cell SPECT. J Nucl Med 1997; 38: 494-95.
• Kim SH, Lee JM, Lee JY et al.: Contrast-enhanced sonography of intrapancreatic accessory spleen in six patients. AJR 2007; 188: 422-28.
• Ota T, Ono S: Intrapancreatic accessory spleen: diagnosis using contrast enhanced ultrasound. Brit J Radiol 2004; 77: 148-49.[Crossref]
• Kim SH, Lee JM, Han JK et al.: Intrapancreatic accessory spleen: findings on MR imaging, CT, US and scintigraphy, and the pathologic analysis. Korean J Radiol 2008; 9: 162-74.[PubMed][Crossref][WoS]
• Kim SH, Lee JM, Han JK et al.: MDCT and superparamagnetic iron oxide (SPIO)-enhanced MR findings of intrapancreatic accessory spleen in seven patients. Eur Radiol 2006; 16: 1887-97.[Crossref][PubMed]
• Lin J, Jing X: Fine-needle aspiration of intrapancreatic accessory spleen, mimic of pancreatic neoplasms. Arch Pathol Lab Med 2010; 134: 1474-78.

Identifiers

DOI

10.2478/v10035-011-0090-9