scholarly journals A CASE OF EPITHELIAL CYST IN AN INTRAPANCREATIC ACCESSORY SPLEEN

2006 ◽  
Vol 67 (9) ◽  
pp. 2172-2176 ◽  
Author(s):  
Noriyuki KITAGAWA ◽  
Gengo KANEKO ◽  
Naoto HORIGOME ◽  
Manabu HIRAGURI ◽  
Osamu SENGA ◽  
...  
Keyword(s):  
Accessory Spleen ◽  
Epithelial Cyst ◽  
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 Laparoscopic Resection of an Epithelial Cyst in an Intrapancreatic Accessory Spleen

2017 ◽  
Vol 11 (3) ◽  
pp. 803-811
Author(s):  
Kazuhiro Suzumura ◽  
Etsuro Hatano ◽  
Toshihiro Okada ◽  
Yasukane Asano ◽  
Naoki Uyama ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Histopathological Examination ◽  
Accessory Spleen ◽  
Cystic Tumor ◽  
Cystic Neoplasm ◽  
Low Grade ◽  
Epithelial Cyst ◽  
Intrapancreatic Accessory Spleen ◽  
Pancreatic Tail ◽  
Splenic Parenchyma

An epithelial cyst in an intrapancreatic accessory spleen (ECIAS) is rare. We herein report a case of a patient with ECIAS who underwent laparoscopic surgery. A 57-year-old woman was referred to our hospital because of a pancreatic tail tumor. She was asymptomatic, and a physical examination revealed no remarkable abnormalities. The levels of the tumor marker carbohydrate antigen 19-9 (CA19-9) and s-pancreas-1 antigen (SPan-1) were elevated. Ultrasonography showed a well-defined homogeneous cystic tumor. Computed tomography showed a well-demarcated cystic tumor in the pancreatic tail. Magnetic resonance imaging showed that the cystic tumor exhibited low intensity on T1-weighted images and high intensity on T2-weighted images. The cystic tumor was diagnosed as mucinous cystic neoplasm preoperatively. The patient underwent laparoscopic spleen-preserving distal pancreatectomy. A histopathological examination revealed the cyst wall to be lined by stratified squamous epithelium within splenic parenchyma, and the ultimate diagnosis was ECIAS. The postoperative course was uneventful, and the patient was discharged on postoperative day 12. ECIAS is very difficult to diagnose preoperatively. Laparoscopic surgery is a safe and minimally invasive procedure for patients with difficult-to-diagnose pancreatic tail tumor suspected of having low-grade malignancy.

scholarly journals Two cases of laparoscopic resection of epithelial cyst in an intrapancreatic accessory spleen

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S228
Author(s):  
S. Amano ◽  
H. Nitta ◽  
T. Takahara ◽  
Y. Hasegawa ◽  
H. Katagiri ◽  
...  
Keyword(s):  
Laparoscopic Resection ◽  
Accessory Spleen ◽  
Epithelial Cyst ◽  
Intrapancreatic Accessory Spleen

scholarly journals Epithelial Cyst Arising in an Intrapancreatic Accessory Spleen: A Diagnostic Dilemma

2011 ◽  
Vol 50 (18) ◽  
pp. 1947-1952 ◽  
Author(s):  
Hirofumi Yamanishi ◽  
Teru Kumagi ◽  
Tomoyuki Yokota ◽  
Mitsuhito Koizumi ◽  
Nobuaki Azemoto ◽  
...  
Keyword(s):  
Accessory Spleen ◽  
Epithelial Cyst ◽  
Diagnostic Dilemma ◽  
Intrapancreatic Accessory Spleen

scholarly journals A CASE OF AN EPITHELIAL CYST OF THE INTRAPANCREATIC ACCESSORY SPLEEN

2010 ◽  
Vol 71 (7) ◽  
pp. 1860-1865 ◽  
Author(s):  
Atsushi HIROSE ◽  
Nobuo MATSUKI ◽  
Masaki TAKESHITA ◽  
Katsuhiro YOSHIMOTO ◽  
Masahiro HOSO
Keyword(s):  
Accessory Spleen ◽  
Epithelial Cyst ◽  
Intrapancreatic Accessory Spleen

Intrapancreatic accessory spleen

2020 ◽  
Author(s):  
Milan Radojkovic ◽  
Danijela Radojkovic ◽  
Natalija Premovic
Keyword(s):  
Accessory Spleen ◽  
Intrapancreatic Accessory Spleen

Intrapancreatic Accessory Spleen Mimicking Neuroendocrine Tumor on 68Ga-DOTATATE PET/CT

2015 ◽  
Vol 40 (9) ◽  
pp. 744-745 ◽  
Author(s):  
Ujwal Bhure ◽  
Jürg Metzger ◽  
Franziska Aebersold Keller ◽  
Andrea Zander ◽  
Marisol Pérez Lago ◽  
...  
Keyword(s):  
Neuroendocrine Tumor ◽  
Accessory Spleen ◽  
Intrapancreatic Accessory Spleen ◽  
Pet Ct

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

Epidermoid cyst in intrapancreatic accessory spleen: A systematic review

Pancreatology ◽  
2019 ◽  
Vol 19 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Bing-Qi Li ◽  
Jun Lu ◽  
Samuel Seery ◽  
Jun-Chao Guo
Keyword(s):  
Systematic Review ◽  
Epidermoid Cyst ◽  
Accessory Spleen ◽  
Intrapancreatic Accessory Spleen
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