A Case of Intrapancreatic Accessory Spleen Mistaken as a Pancreatic Mass due to Different Enhancing Pattern from Normal Spleen.
10.4166/kjg.2011.58.6.357
- Author:
Jun Seok PARK
1
;
Wan Jung KIM
;
Yeong Gyu JEONG
;
Youn Sun PARK
;
Hyun Cheol KOO
;
Tae Il LEE
;
Gyo Chang CHOI
;
Sook KIM
Author Information
1. Department of Internal Medicine, Soonchunhyang University Hospital, Gumi, Korea. netstars@empas.com
- Publication Type:Case Reports
- Keywords:
Accessory spleen;
Pancreas;
Pancreatic neoplasms
- MeSH:
Diagnostic Errors;
Female;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Pancreatectomy;
Pancreatic Neoplasms/radionuclide imaging/surgery/ultrasonography;
Spleen/*pathology/radionuclide imaging/surgery;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2011;58(6):357-360
- CountryRepublic of Korea
- Language:English
-
Abstract:
Most cases of accessory spleen show similar features as normal spleen in imaging studies. However, some accessory spleen has unusual scan feature which can be misdiagnosed. We present a case of intrapancreatic accessory spleen that was discovered incidentally during a workup for abdominal pain in a 47-year-old woman. CT and MRI revealed a different enhancing pattern from that of the spleen. Further evaluation with endoscopic ultrasonography failed to identify the pancreatic mass. Therefore, it was surgically removed and diagnosed pathologically as an accessory spleen.