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Intrapancreatic accessory spleen : A rare cause of a pancreatic mass

Läuffer, Jörg ; Baer, Hans ; Maurer, Christoph ; Wagner, Markus ; Zimmermann, Arthur ; Büchler, Markus

In: International Journal of Pancreatology, 1999, vol. 25, no. 1, p. 65-68

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    Titre
    • Intrapancreatic accessory spleen
      A rare cause of a pancreatic mass
    Auteur
    • Läuffer, Jörg. Department of Visceral and Transplantation Surgery, University of Bern, Switzerland, CH-3010, Bern, Switzerland
    • Baer, Hans. Department of Visceral and Transplantation Surgery, University of Bern, Switzerland, CH-3010, Bern, Switzerland
    • Maurer, Christoph. Department of Visceral and Transplantation Surgery, University of Bern, Switzerland, CH-3010, Bern, Switzerland
    • Wagner, Markus. Department of Visceral and Transplantation Surgery, University of Bern, Switzerland, CH-3010, Bern, Switzerland
    • Zimmermann, Arthur. Institute of Pathology, University of Bern, Inselspital, Switzerland
    • Büchler, Markus. Department of Visceral and Transplantation Surgery, University of Bern, Switzerland, CH-3010, Bern, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • International Journal of Pancreatology, 1999, vol. 25, no. 1, p. 65-68. Humana Press
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:322069
    Summary
    Summary: Conclusion: The clinical significance of intrapancreatic accessory spleens resides in the mimicry of pancreatic cancer. Radionuclide tests (Octreotide scan and Tc99m sulfur colloid scan) should be undertaken to distinguish these lesions from neuroendocrine tumors, hypervascular metastases and pancreatic carcinoma. If the tests are equivocal, diagnostic laparotomy or laparoscopy is recommended. Background: Despite its relatively common occurrence, intrapancreatic ectopic splenic tissue is rarely deted owing to its asymptomatic nature. Methods: We report a case of a clinically asymptomatic patient in which abdominal computed tomography (CT) scans revealed a mass of 1.5 cm in diameter in the distal pancreas. The tumor markers CA 19-9 and carcinomebryonic antigen (CEA) were slightly elevated, and pancreatic neoplasm was suspected. Results: Left pancreatic resection and splenectomy were performed. The removed specimen disclosed the presence of an accessory spleen within the pancreatic tail