An Intrapancreatic Accessory Spleen that Was Difficult to Diagnose Due to Temporal Changes after Splenectomy.

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An Intrapancreatic Accessory Spleen that Was Difficult to Diagnose Due to Temporal Changes after Splenectomy.

Intern Med. 2017 Nov 20;:

Authors: Uchida D, Tsutsumi K, Kato H, Okada H

Abstract
Accessory spleen (AS) is common anomaly, and 20% of AS cases occur in the pancreatic tail(1). An intrapancreatic AS can be difficult to distinguish from pancreatic neoplasms. In most cases, an AS is described as a hypervascular and solitary tumor, but an AS sometimes takes other forms. We herein report a rare case of an intrapancreatic AS with temporal changes in its appearance after splenectomy, which mimicked aspects of pancreatic cancer. Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) and Tc-99m sulfur colloid scintigraphy were useful for the diagnosis.

PMID: 29151511 [PubMed - as supplied by publisher]

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