Intrapancreatic accessory spleen (IPAS) is a benign anomaly
of splenic embryology and a rare cause of pancreatic
pseudotumour. Here, we report a case of a 70-year-old Malay
lady whose IPAS was discovered incidentally during her
surveillance computed tomography for her underlying left
lower lung fibrosis. Radiologically, the lesion mimicked a
neuroendocrine pancreatic tumour and was only diagnosed
pathologically as IPAS after surgery. In conclusion,
recognising IPAS as a differential for enhancing pancreatic
mass allows us to exhaust all non-invasive diagnostic
means to diagnose this benign lesion. It will allow the patient
to avoid unnecessary surgery and its accompanying
complications.
Spleen
;
Splenectomy
;
Pancrelipase