scholarly journals Intrapancreatic Accessory Spleen: Two Case Reports of a Rare Entity

Cureus ◽  
2020 ◽  
Author(s):  
Stylianos Kykalos ◽  
Nikolaos Machairas ◽  
Ernesto P Molmenti ◽  
Georgios Sotiropoulos
2016 ◽  
pp. 15 ◽  
Author(s):  
Marco Massani ◽  
Paola Maccatrozzo ◽  
Giovanni Morana ◽  
Luca Fabris ◽  
Cesare Ruffolo ◽  
...  

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 ◽  
...  

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Mutahir A. Tunio ◽  
Mushabbab AlAsiri ◽  
Asma Mohammed F. Ali ◽  
Eyad Fawzi AlSaeed ◽  
Muhammad Shuja ◽  
...  

Background. Small cell carcinoma (SCC) of the gallbladder is a rare entity and is often seen in elderly women. SCC of gallbladder is typically a nonsecretory carcinoid tumor without overt clinical symptoms and is often discovered at advanced stages. SCC of gallbladder carries a dismal prognosis as compared to SCC of lung and adenocarcinoma of gallbladder. To date, only 73 case reports have been published in the world literature.Case Presentation. Herein, we report a case of a 73-year-old Saudi woman who presented with one week history of right upper quadrant abdominal pain and obstructive jaundice and was found to be a case of locally advanced, metastatic SCC of gallbladder cT4N1M1 (liver, para-aortic lymph nodes, and bone). The patient was treated with neoadjuvant etoposide and cisplatin (EP) chemotherapy three cycles after biliary stenting followed by radical cholecystectomy, lymphadenectomy, and adjuvant EP chemotherapy and then one year later developed distal humerus osseous metastasis.Conclusion. SCC of the gallbladder is very rare entity and is often seen at advanced stages. Osseous metastases of peripheral skeleton from SCC gallbladder are rarely reported. Surgery is curative option but only for early stage tumors. Incorporation of chemotherapy along with radical resection increases the survival.


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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