scholarly journals Diagnostic difficulties and therapeutic choices in intrapancreatic accessory spleen: case reports

2016 ◽  
pp. 15 ◽  
Author(s):  
Marco Massani ◽  
Paola Maccatrozzo ◽  
Giovanni Morana ◽  
Luca Fabris ◽  
Cesare Ruffolo ◽  
...  
2017 ◽  
Vol 20 (2) ◽  
pp. 103-104
Author(s):  
Anna Skowrońska ◽  
Tomasz Bednarczuk ◽  
Joanna Podgórska ◽  
Dorota Kaczmarska-Turek ◽  
Jarosław Ćwikła

Cureus ◽  
2020 ◽  
Author(s):  
Stylianos Kykalos ◽  
Nikolaos Machairas ◽  
Ernesto P Molmenti ◽  
Georgios Sotiropoulos

2006 ◽  
Vol 67 (11) ◽  
pp. 2712-2716 ◽  
Author(s):  
Masaki KIMURA ◽  
Takuya YAMADA ◽  
Shigeru KIYAMA ◽  
Takafumi SEKINO ◽  
Hiroshi MATSUO ◽  
...  

2019 ◽  
Vol 8 (6) ◽  
pp. 205846011985934 ◽  
Author(s):  
Maria Zurek Munk-Madsen ◽  
Kristine Zakarian ◽  
Peter Sandor Oturai ◽  
Carsten Palnæs Hansen ◽  
Birgitte Federspiel ◽  
...  

Intrapancreatic hypervascular lesions may represent metastases, neuroendocrine tumors, or intrapancreatic accessory spleens. The benign intrapancreatic accessory spleen can be difficult to separate from a malignant neuroendocrine tumor or metastasis. We report three cases of pancreatic lesions that underwent pancreatic surgery due to suspicion of malignancy on imaging; all cases were histologically intrapancreatic accessory spleens. Our cases point to the importance of performing single-photon emission computed tomography with heat-damaged Tc-99m-pertechnetate labelled erythrocytes to identify splenic tissue, even though small lesions can show a false-negative result.


2009 ◽  
Vol 16 (3) ◽  
pp. 435-442 ◽  
Author(s):  
Kyuichi Kadota ◽  
Yoshio Kushida ◽  
Yumi Miyai ◽  
Naomi Katsuki ◽  
Toshitetsu Hayashi ◽  
...  

Author(s):  
Milan Radojkovic ◽  
Danijela Radojkovic ◽  
Natalija Premovic

2015 ◽  
Vol 40 (9) ◽  
pp. 744-745 ◽  
Author(s):  
Ujwal Bhure ◽  
Jürg Metzger ◽  
Franziska Aebersold Keller ◽  
Andrea Zander ◽  
Marisol Pérez Lago ◽  
...  

2011 ◽  
Vol 2 (6) ◽  
pp. 128-130 ◽  
Author(s):  
Niroshan Sothilingam ◽  
Toni Leedahl ◽  
Stefan Kriegler ◽  
Rani Kanthan ◽  
Michael A.J. Moser

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 ◽  
...  

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.


Pancreatology ◽  
2019 ◽  
Vol 19 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Bing-Qi Li ◽  
Jun Lu ◽  
Samuel Seery ◽  
Jun-Chao Guo

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