Laparoscopic distal pancreatectomy for intrapancreatic accessory spleen: a case report

2017 ◽  
Vol 89 (6) ◽  
pp. 781-782 ◽  
Author(s):  
Michael Issa ◽  
Luke Bradshaw ◽  
Maree Loveluck ◽  
David Nickless ◽  
Tuck Leong Yong
Keyword(s):  
Case Report ◽  
Distal Pancreatectomy ◽  
Accessory Spleen ◽  
Laparoscopic Distal Pancreatectomy ◽  
Intrapancreatic Accessory Spleen

scholarly journals Laparoscopic distal pancreatectomy for intrapancreatic accessory spleen: Case report

2015 ◽  
Vol 143 (3-4) ◽  
pp. 195-198 ◽  
Author(s):  
Slavko Matic ◽  
Djordje Knezevic ◽  
Igor Ignjatovic ◽  
Nikola Grubor ◽  
Vladimir Dugalic ◽  
...  
Keyword(s):  
Neuroendocrine Tumor ◽  
Distal Pancreatectomy ◽  
Histopathological Examination ◽  
Preoperative Evaluation ◽  
Accessory Spleen ◽  
Laparoscopic Distal Pancreatectomy ◽  
Pancreatic Tissue ◽  
Intrapancreatic Accessory Spleen ◽  
Pancreatic Tail ◽  
Spleen Preserving

Introduction. Accessory spleens can be found in up to 10% of the population, and their intrapancreatic occurrence is considered uncommon. When present, the intrapancreatic accessory spleen is usually found in the tail of the pancreas in about 1.7% of adult individuals. The infrequent presence of the accessory spleen in the pancreatic tissue could lead to inappropriate diagnosis and hence therapeutic approach, as they are commonly presented as a hypervascular node in the tail of the pancreas on abdominal CT and MRI, mimicking a well differentiated tumor of the pancreas or non-functioning pancreatic neuroendocrine tumor. Case Outline. We present a 70-year-old female in whom a preoperative evaluation finding was highly suggestive of a non-functioning neuroendocrine tumor of the pancreatic tail. We performed spleen preserving laparoscopic distal pancreatectomy, and histopathological examination revealed the intrapancreatic accessory spleen. Conclusion. Although infrequent, the presence of the intrapancreatic accessory spleen must be considered in the differential diagnosis of pancreatic tail tumors.

Successful laparoscopic distal pancreatectomy for a large solid pseudopapillary neoplasm: A case report

2017 ◽  
Vol 10 (3) ◽  
pp. 317-320 ◽  
Author(s):  
Seiichiro Tada ◽  
Taku Iida ◽  
Takayuki Anazawa ◽  
Shintaro Yagi ◽  
Satoru Seo ◽  
...  
Keyword(s):  
Case Report ◽  
Distal Pancreatectomy ◽  
Laparoscopic Distal Pancreatectomy ◽  
Solid Pseudopapillary Neoplasm

scholarly journals Intrapancreatic accessory spleen: A case report and review of the literature

2011 ◽  
Vol 2 (6) ◽  
pp. 128-130 ◽  
Author(s):  
Niroshan Sothilingam ◽  
Toni Leedahl ◽  
Stefan Kriegler ◽  
Rani Kanthan ◽  
Michael A.J. Moser
Keyword(s):  
Case Report ◽  
Accessory Spleen ◽  
Review Of The Literature ◽  
Intrapancreatic Accessory Spleen

scholarly journals Rare Case of an Epithelial Cyst in an Intrapancreatic Accessory Spleen Treated by Robot-Assisted Spleen Preserving Distal Pancreatectomy

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Willemijn P. M. van Dijck ◽  
Vincent P. Groot ◽  
Lodewijk A. A. Brosens ◽  
Jeroen Hagendoorn ◽  
Inne H. M. Borel Rinkes ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Accessory Spleen ◽  
Magnetic Resonance Images ◽  
Epithelial Cyst ◽  
Robot Assisted ◽  
Diagnostic Features ◽  
Intrapancreatic Accessory Spleen ◽  
Spleen Preserving ◽  
Technetium 99M ◽  
Radiological Features

Epithelial cyst in an intrapancreatic accessory spleen (ECIPAS) is exceedingly rare with only 57 cases reported since the first publication in 1980. Comprehensive clinical and diagnostic features remain to be clarified. We present a case of ECIPAS in a 21-year-old Philippine woman who was admitted with right upper quadrant abdominal pain. A cystic lesion in the pancreatic tail was discovered and evaluated by computed tomography and magnetic resonance images. Based on clinical and radiological features a solid pseudopapillary neoplasm was suspected. The patient underwent robot-assisted spleen preserving distal pancreatectomy. Pathological evaluation revealed a 26 mm intrapancreatic accessory spleen with a 16 mm cyst, lined by multilayered epithelium in the tail of the pancreas. The postoperative course was uneventful. Differentiating ECIPAS from (pre)malignant cystic pancreatic neoplasms based on clinical and radiological features remains difficult. When typical radiological signs can be combined with scintigraphy using Technetium-99m labelled colloid or Technetium-99m labelled erythrocytes, which can identify the solid component of the lesion as splenic tissue, it should be possible to make the right diagnosis noninvasively. When pancreatectomy is inevitable due to symptoms or patient preference, minimally invasive laparoscopic or robot-assisted spleen preserving distal pancreatectomy should be considered.

scholarly journals Epithelial cyst arising in an intrapancreatic accessory spleen: a case report of robotic surgery and review of minimally invasive treatment

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tomokatsu Kato ◽  
Yoichi Matsuo ◽  
Goro Ueda ◽  
Yoshinaga Aoyama ◽  
Kan Omi ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Minimally Invasive ◽  
Distal Pancreatectomy ◽  
Accessory Spleen ◽  
Cystic Neoplasm ◽  
Epithelial Cyst ◽  
Robot Assisted ◽  
Invasive Treatment ◽  
Intrapancreatic Accessory Spleen ◽  
Pancreatic Tail

Abstract Background An epithelial cyst in an intrapancreatic accessory spleen (ECIPAS) is rare. We report a case of ECIPAS that was treated with robot-assisted distal pancreatectomy with splenectomy. Case presentation The case was a 59-year-old woman who was referred to our hospital after a pancreatic tail tumor was found on computed tomography prior to surgery for small bowel obstruction at another hospital. A cystic lesion in the pancreatic tail was discovered and evaluated by magnetic resonance imaging and endoscopic ultrasonography. Based on clinical and radiological features, mucinous cystic neoplasm was included in the differential diagnosis. The patient underwent robot-assisted distal pancreatectomy with splenectomy. The postoperative course was uneventful. Pathological evaluation revealed a 20-mm ECIPAS in the pancreatic tail. Conclusions If a pancreatic tail tumor is present, ECIPAS should be included in the differential diagnosis. However, preoperative diagnosis is difficult, and a definitive diagnosis is often not obtained until after surgery. Surgery should be minimally invasive. Laparoscopic distal pancreatectomy has become a standard surgical procedure because it is minimally invasive. Robot-assisted surgery is not only minimally invasive, but also advantageous, because it has a stereoscopic magnifying effect and allows the forceps to move smoothly. Robot-assisted distal pancreatectomy may be a good option, when performing surgery for a pancreatic tail tumor.

scholarly journals Epidermoid cyst of an intrapancreatic accessory spleen: a case report and literature review

2014 ◽  
Vol 12 (1) ◽  
pp. 92 ◽  
Author(s):  
Nick Zavras ◽  
Nick Machairas ◽  
Pericles Foukas ◽  
Andreas Lazaris ◽  
Paul Patapis ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Epidermoid Cyst ◽  
Accessory Spleen ◽  
Intrapancreatic Accessory Spleen

Laparoscopic Distal Pancreatectomy in Children: Case Report and Review of the Literature

2007 ◽  
Vol 14 (3) ◽  
pp. 1065-1069 ◽  
Author(s):  
Gianluigi Melotti ◽  
Alvise Cavallini ◽  
Giovanni Butturini ◽  
Micaela Piccoli ◽  
Andrea Delvecchio ◽  
...  
Keyword(s):  
Case Report ◽  
Distal Pancreatectomy ◽  
Laparoscopic Distal Pancreatectomy ◽  
Review Of The Literature

scholarly journals Intrapancreatic accessory spleen: A case report and review of the literature

2009 ◽  
Vol 15 (9) ◽  
pp. 1141 ◽  
Author(s):  
Wei Guo ◽  
Wei Han ◽  
Jun Liu ◽  
Lan Jin ◽  
Jian-She Li ◽  
...  
Keyword(s):  
Case Report ◽  
Accessory Spleen ◽  
Review Of The Literature ◽  
Intrapancreatic Accessory Spleen

Intrapancreatic Accessory Spleen Mimicking Endocrine Tumor of the Pancreas: Case Report and Review of the Literature

2007 ◽  
Vol 12 (8) ◽  
pp. 1471-1473 ◽  
Author(s):  
Shuichiro Uchiyama ◽  
Kazuo Chijiiwa ◽  
Masahide Hiyoshi ◽  
Jiro Ohuchida ◽  
Naoya Imamura ◽  
...  
Keyword(s):  
Case Report ◽  
Accessory Spleen ◽  
Endocrine Tumor ◽  
Review Of The Literature ◽  
Intrapancreatic Accessory Spleen
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