Asymptomatic Mass in the Tail of the Pancreas: Intrapancreatic Accessory Spleen

Yildirim F., ERDOĞAN F., KILIÇ M., Metin M. R.

ARCHIVES OF IRANIAN MEDICINE, cilt.25, sa.8, ss.574-576, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 25 Sayı: 8
  • Basım Tarihi: 2022
  • Doi Numarası: 10.34172/aim.2022.91
  • Dergi Adı: ARCHIVES OF IRANIAN MEDICINE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, Index Islamicus, MEDLINE, Veterinary Science Database
  • Sayfa Sayıları: ss.574-576
  • Anahtar Kelimeler: Accessory spleen, Intrapancreatic accessory spleen, Neuroendocrine tumors, CYSTIC NEOPLASMS, IMAGING FEATURES, TUMORS, SPLENOSIS
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

We present a 48-year-old male patient with a mass in the tail of the pancreas on abdominal ultrasonography. The lesion was suspicious for a well-differentiated pancreatic neuroendocrine tumor and spleen preserved distal pancreatectomy surgery was performed. It was diagnosed as intrapancreatic accessory spleen (IPAS) after pathological examination. Accessory spleen is not an infrequent congenital entity caused by the localization of normal splenic tissue in ectopic regions. As it is known, an accessory spleen is a benign entity and does not require surgical treatment or follow-up when detected. However, it is important to recognize IPAS tissue as it may mimic a pancreatic neoplasia when it is located in the pancreas. In this article, we discuss the differential diagnostic possibilities of the IPAS entity.